Arctic Futures Symposium 2019 Registration Form
Please complete all required fields (*) in this form to register your place at this year's Arctic Futures Symposium, which will take place 9:00 am - 7:00 pm on Monday 25 November at the Residence Palace in Brussels (Rue de la Loi / Wetstraat n°155).

As space for the event is limited, please be so kind as to contact us by email at in case your plans to attend the symposium change.

NB: Data collected in this registration form will be used only for event management purposes for the 2019 Arctic Futures Symposium. The International Polar Foundation and all symposium partners will not forward your personal data to any third parties for any purpose.

Should you have any questions or concerns about how your personal data is managed, or if you have any general questions about the symposium, please don't hesitate to contact us at, or at +32 (0)2 520 34 40.

Email address *
Title (Prof., Dr., Ms., etc.)
Your answer
First Name *
Your answer
Last Name *
Your answer
Job Title / Position *
Your answer
Company / Organisation / Affiliation *
Your answer
Country *
Your answer
Do you have any food allergies or specific dietary needs that we should be aware of?
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of The International Polar Foundation. Report Abuse