Mental Management® Registration Agreement Form Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address City State / Province / Region ZIP / Postal Code Sport or Application Referred By I understand that I am taking a Mental Management® Seminar. I understand that this material is copyrighted and is for my use only. I agree not to teach or sell it without expressed written permission of Lanny Bassham and Mental Management Systems LLC. I also understand that no one can guarantee that any course or seminar will improve the performance of a participant just by attending the training and that personal effort toward applying the information presented is critical in determining success.Consent(Required) I agree to the seminar registration requirements above.Name(Required) Date(Required) MM slash DD slash YYYY