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Hygiene Mastery Bootcamp Registration
Once completed, Our Admin will be reaching out via email to process the $100 for registration. One Registration form will need to be completed per Attendee.
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Email
*
Your email
First Name of Person Attending
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Your answer
Last Name of Person Attending
*
Your answer
Cell Phone Number
*
Your answer
Office Name
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Your answer
Location: City, State
*
Your answer
Position in the Practice
*
Doctor
Hygiene Assistant
Hygienist
Admin Team Member
Dental Assistant
Please select Which CE Bootcamp course are you registering for:
*Courses are $100 per course, per attendee
*50% savings extended for Fortune clients
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Prevention Boost - April 9, 2025
Co-Discovery & Hygiene Enrollment - May 14, 2025
Periodontal Therapy - June 26, 2025
I commit to being present, on time and on video for each and every bootcamp session.
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Yes, I commit.
No, don't sign me up for bootcamp.
How did you hear about our Bootcamp CE sessions?
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Your answer
Do you have a Hygiene Mastery Coach? If so, please list Coach name.
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Your answer
Do you have a Fortune Coach? If so, please list Coach name and you will receive 50% savings off the course!!
Your answer
Where did you hear about Hygiene Mastery?
*
Social Media (Facebook, Instagram, LinkedIn)
Website
Fellow Dental Professional
Other:
A copy of your responses will be emailed to the address you provided.
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