MH 2024 Pre-registration

Mile High 2024

PRE-REGISTRATION FORM
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload your Headshot

Cancelof
Note: Submit to choose your registration ticket type.

For inquiries contact, please feel free to reach out to us at support@MileHighChiro.org. You can also contact us via text or phone call at (720) 594-5066.

Mile High 2024

PRE-REGISTRATION FORM
Additional Tickets
General Event - $150
Maximum of 3 General event tickets can be added
Student - $75
Maximum of 3 Student tickets can be added
Team Member - $150
You only 1 ticket for 3 Non-DC Team Members
Associate DC - $150
Maximum of 3 Associate DC can be added
Spouse (non-DC) - $100
Sunday with Donny Tickets
DC - $190
Student - $90
Continuing Education Tickets
CE Fee - $55
Record-Keeping CE - $75
CPR CE - $75
After Party Tickets
DC - $60
Student - $35
Sunday w/ Donny DC [standalone] - $600
Sunday w/ Donny Student [standalone] - $300
CPR CE [standalone] - $100
Record-Keeping CE [standalone] - $100
For inquiries contact, please feel free to reach out to us at support@MileHighChiro.org. You can also contact us via text or phone call at (720) 594-5066.
Registration Ticket Count
Ticket Counter
only main tickets
Is this a VIP Registration?

YESNO

Mile High 2024

PRE-REGISTRATION FORM
Please Fill the additional information for your Additional Tickets.
Associate DC1 Name

First NameLast Name
Associate DC1 Email
example@example.com
Associate DC2 Name

First NameLast Name
Associate DC2 Email
example@example.com
Associate DC3 Name

First NameLast Name
Associate DC3 Email
example@example.com
TEAM MEMBERS
Please add the names of your team members
✨VIP✨ TEAM MEMBERS
Please add the names of your team members
General Event1 Name

First NameLast Name
General Event1 Email
example@example.com
General Event2 Name

First NameLast Name
General Event2 Email
example@example.com
General Event3 Name

First NameLast Name
General Event3 Email
example@example.com
Student1 Name

First NameLast Name
Student1 Email
example@example.com
Student2 Name

First NameLast Name
Student2 Email
example@example.com
Student3 Name

First NameLast Name
Student3 Email
example@example.com
For inquiries contact, please feel free to reach out to us at support@MileHighChiro.org. You can also contact us via text or phone call at (720) 594-5066.
Skip next page

YESno is not an option

HIDE THIS

this is a computation page. always skip this
Admission Ticket
Admission Ticket Price
Associate DC Total
Associate DC Price
Associate DC Text Value
Associate DC Text
Spouse Total
Spouse Price
Spouse Text Value
Spouse Text
Team Member Total
Team Member Price
Team Member Text Value
Team Member Text
General Event Total
General Event Price
General Event Text Value
General Event Text
Student Total
Student Price
Student Text Value
Student Text
After Party DC Total
After Party DC Price
After Party DC Text Value
After Party DC Text
After Party Student Total
After Party Student Price
After Party Student Text Value
After Party Student Text
Donny Sunday DC Total
Donny Sunday DC Price
Donny Sunday DC Text Value
Donny Sunday DC Text
Donny Sunday Student Total
Donny Sunday Student Price
Donny Sunday Student Text Value
Donny Sunday Student Text
CE Fee Total
CE Fee Price
CE Fee Text Value
CE Fee Text
Record Keeping CE Total
Record Keeping CE Price
Record Keeping CE Text Value
Record Keeping CE Text
CPR CE Total
CPR CE Price
CPR CE Text Value
CPR CE Text
Sunday w/ Donny DC [standalone] Total
Sunday w/ Donny DC [standalone] Price
Sunday w/ Donny DC [standalone] Value
Sunday w/ Donny DC [standalone] Text
Sunday w/ Donny Student [standalone] Total
Sunday w/ Donny Student [standalone] Price
Sunday w/ Donny Student [standalone] Value
Sunday w/ Donny Student [standalone] Text
CPR CE [standalone] Total
CPR CE [standalone] Price
CPR CE [standalone] Value
CPR CE [standalone] Text
Record-Keeping CE [standalone] Total
Record-Keeping CE [standalone] Price
Record-Keeping CE [standalone] Value
Record-Keeping CE [standalone] Text
Student Travel Fund Donation Price
Student Travel Fund Donation Text
Student Ticket Donation Price
Student Ticket Donation Text
JACIFREE Code Admission Ticket Discount
JACIFREE Code Associate DC Discount
JACIFREE Code CE Fee Discount
JACIFREE Code CPR CE Discount
STEVE Code Admission Ticket Discount
STEVE Code CE Fee Discount

Mile High 2024

PRE-REGISTRATION FORM
MILE HIGH DONATION
Student Travel Fund Donation
Optional
Student Ticket Donation
Optional
For inquiries contact, please feel free to reach out to us at support@MileHighChiro.org. You can also contact us via text or phone call at (720) 594-5066.

Mile High 2024

PRE-REGISTRATION FORM
Discount Code
Current Date

MonthDayYear
For conditions that needs the current date
Subtotal:
Discount-value
After-discount:

REGISTRATION DETAILS

Main Ticket:

{admissionTicket}{admissionTicketPrice}

Add-Ons:

{spouseText}{spouseText118}{spousePrice}

{associateDc110}{associateDc111}{associateDc109}

{teamMember122}{teamMember123}{teamMember121}

{studentText}{studentText133}{studentPrice}

{generalEvent127}{generalEvent128}{generalEvent126}

{afterParty137}{afterParty138}{afterParty136}

{afterParty142}{afterParty143}{afterParty141}

{ceFee157}{ceFee158}{ceFee156}

{recordKeeping162}{recordKeeping163}{recordKeeping161}

{cprCe167}{cprCe168}{cprCe166}

{recordkeepingCe196}{recordkeepingCe197}{recordkeepingCe195}

{cprCe191}{cprCe192}{cprCe190}

{donnySunday147}{donnySunday148}{donnySunday146}

{donnySunday152}{donnySunday153}{donnySunday151}

{sundayW180}{sundayW181}{sundayW179}

{sundayW186}{sundayW187}{sundayW185}

{studentTicket236}{studentTicket234}

{studentTicket240}{studentTicket239}

Should be Empty:

Mile High 2024

Mile High 2024

✨VIP INCLUSIONS✨

Mile High 2024

Mile High 2024

HIDE THIS

Mile High 2024

Mile High 2024