HI3 'FUN-SIZE' 2.5-day Immunology Workshop REGISTRATION FORM for May 9-11, 2022

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Please complete the electronic registration form below for the Human Immunology and Immunotherapy Initiative (HI3) 2.5-day workshop. The workshop will start at 8:00am on all 3 days and end at 4:30pm on the first and second day and at 12:00noon on the third and final day.

Please make note that attendance during the entire 2.5 days is required. If you are unable to attend all 2.5 days of the workshop, please consider registering for the workshop at a later date when you are able to commit your attendance for the entire workshop. The class size is limited to 20 registrants. Registrants beyond the first 20 will be added to a wait list in the order registered.

QUESTIONS? Please contact Aimee.Bernard@cuanschutz.edu

Untitled Title

First and Last Name *

CU email address *

Today's date *

YYYY

Hospital, Department and/or Lab Affiliation *

Designation *

By completing and submitting this registration form I solemnly swear to attend the entire 2.5 days of the workshop AND if my availability changes I will email Aimee.Bernard@cuanschutz.edu immediately to allow my spot to be given to colleagues on the waiting list. *

Yes, I agree

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