2022 Silver Sponsor Municipal Leadership Summit Complimentary Registration

2022 Silver Sponsor Municipal Leadership Summit Comp Registration Registration Form

Please complete this form to take advantage of your complimentary Summit registration

PML-sponsored events are held in compliance with all local, state, and federal rules regarding Covid-19 safety measures, including mask wearing and social distancing, that are in effect at the time of the event. Additionally, PML-sponsored events follow the rules of the facility where the event is held, including, but not limited to, Covid-19 safety measures required of all patrons of the facility. PML will advise event attendees of the applicable rules relating to Covid-19 safety measures. By checking this box, I agree to abide by all local, state, and federal rules regarding Covid-19 safety measures, as well as the facility’s rules. Further, I represent: (1) I am fully vaccinated against Covid-19 (as defined by the Centers for Disease Control) or, (2) I will wear a mask at all public activities during the PML-sponsored event if I am not fully vaccinated. I understand and agree that my failure to comply with any rules related to Covid-19 safety measures, or my failure to wear a mask at all public activities during the PML-sponsored event, may be grounds for my exclusion from further attendance at the event.*
- I agree to the Covid rules and regulations state above (this box must be checked to proceed).
Company/Firm Name*
Email to whom confirmation will be sent to:*
Comp Registrant's Name
Only complete the following information if you are utilizing the complimentary Summit registration.
First Last
Position Title
Preferred Email
Preferred Phone #
Special Diet/Accessiblity Needs
Please list.
Emergency contact name