Regnier Venture Creation Challenge Registration

Venture Name: *


Primary Contact First Name: *


Primary Contact Last Name: *


Primary Contact Email: *


Primary Contact Phone: *


School Name:

Year In School:


Please enter the preferred names of all teammates:

Please enter the preferred email addresses of all teammates:

Please enter a 1-10 word summary of your venture:

Please enter a 100-word description of your venture:

If you are enrolled in any courses at UMKC, please fill out the next two fields:

Instructor Name:

Course Number:


Henry W. Bloch School of Management
5110 Cherry Street
Kansas City, MO 64110

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