2023 Executive Roundtable Retreat Presented by TiVo

Your Information

First Name*

Exactly as it appears on your passport

Middle Name

Exactly as it appears on your passport

Last Name*

Exactly as it appears on your passport

Do you plan to bring a guest?*

Your guest must be 18 years or older to attend. Guests will be invited to participate in the Tuesday welcome dinner and the Thursday meals and group activity. Each guest must fill out their own registration form.

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Are you the Roundtable Invitee or the Guest of a Roundtable Invitee?*

Please select one.

I am the Roundtable Invitee

I am the Guest of an Roundtable Invitee

Your Travel Companion (if applicable)

Please tell us the first and last name of the person you will be traveling with.

Jacket Size

Jacket Size*

Please provide your jacket size from the drop down below.

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Your Passport Information

If you would like complimentary fast track service through immigration and customs upon arrival and departure from the Nassau airport (NAS), please provide your passport information.

Passport Number

Passport Country of Origin

Passport Expiration Date

Passport Information Page

In order to take advantage of the fast track service, you must upload an image of your passport information page here. You can also choose to email this file to events@xperi.com.

Drag and drop files here or

Your Contact Information

Current Mailing Address*

City*

State/Province/Prefecture*

Zip/Postal Code*

Country*

Mobile Phone*

Your Email Address*

Your Travel Preferences

All retreat attendees are responsible for their own airfare.

If you would like to extend your stay at your own expense, the rate at the Rosewood Baha Mar is $950 excluding 21% tax, 14% resort fee and 10% VAT on the resort fee per night per room. This group rate is honored for 3 days post event based on availability.

If you would like to travel on dates outside of the dates provided, please note your travel dates in the additional comments section at the bottom of this form.

What date do you plan to arrive in the Bahamas?*

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What date do you plan to depart the Bahamas?*

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Scheduled Flight Arrival Time*

Please provide your scheduled flight arrival time into Nassau.

Airport*

What airport will you be departing from to go to Nassau?

Airline*

Arrival Flight Number*

Scheduled Flight Departure Time*

Please provide your scheduled departure time for your flight departing Nassau.

Departure Airline*

Departure Flight Number*

What type of hotel room do you prefer?*

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Any Restrictions or Special Instructions?

Do you have any dietary restrictions?*

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Do you have any medical restrictions?*

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Please explain any dietary/medical restrictions or special instructions.

Thursday Group Activity

Will you be participating in the Thursday Group Activity*

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Emergency Contact Information

Please list a person who will not be attending the Executive Roundtable Retreat as your emergency contact.

Your Emergency Contact's Full Name*

First and last name only

Emergency Contact – Relationship to you*

Emergency Contact – Mobile Phone*

Include country and area codes please.

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Event Waiver and Release*

I agree to the Event Waiver and Release.

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