Submission & Registration Form

Primary Contributor's contact information

1) Name
2) Student ID
3) Preferred name for nametag
4) Degree (e.g., PhD, MSc)
5) Faculty/Department
6) Email
7) Phone

Would you like to register for the following events?

8) Keynote speaker
Yes No
9) Wine and cheese networking event
Yes No
10) Banquet dinner
Yes No
11) Meal Choice
Meat Vegetarian Vegan
12) Are you submitting an abstract to the conference?
Yes No

Submission & Registration Form

Would you like to register for the following events?

Supervisor’s contact information

Co-contributor’s (if any) contact information

Contribution category