YES Academy Registration To finish your registration, please fill out the form below. Step 1 of 3 33% Your InformationAdd me to the waitlist!HiddenSelect Dates* Call for dates! Full Name PhoneEmail Practice Name Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is your practice part of a DSO (Dental Service Organization)? Yes No Have you attended any of our courses or lectures? Yes No Have you ever worked with a practice management firm? Yes No Practice GoalsAre you a Mari's List member? Yes No Are you an Elite Dental Alliance member? Yes No Elite Dental Alliance Member # Whom may we thank for referring you to our Workshop? Mailer Internet Other Please Specify AttendeesAttendeesNamePosition Click the (+) icon to add additional attendees. Tuition Policy: The tuition is nonrefundable 30 days prior to the Workshop. However, tuition may be transferred to the next available Workshop for a fee of $250.00.CAPTCHA