MWPG 2023 Registration
Sign in to Google to save your progress. Learn more
Email *
Name (and pronouns) as you wish it to be displayed on a nametag *
Institution *
Professional Lifestage *
Will you be presenting a poster? *
Are you interested in giving a talk? *
If so, please include a brief talk abstract below (~300 words)
Are you interested in sharing a double room in the University of Michigan dorms? Budget-permitting, this option will be free, or, at most, very low cost. If you are interested in this housing option, please list the name of the person with whom you would like to room.  Otherwise, please answer "No." *
Do you have any dietary restrictions?  If so, please let us know what they are.
Would you be interested in childcare?  If so, please list the number of children (and their ages) for whom you'd be interested in care.

Note that, at this stage, we cannot guarantee that there will be childcare, but if there is sufficient interest and available funds, it will be a priority.
Are there any other accommodations you require?
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse