Delayed: Predicting evolution workshop

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This workshop is delayed to a later date

Name *

Email *

I would like to participate in the onsite workshop day on November 23th *

yes

I will participate in the morning program

yes

Clear selection

I will participate in the afternoon program

Yes

Clear selection

I stay for lunch (included)

yes

Clear selection

I stay for dinner (on own cost). The restaurants offers meat, fish or vegetarian meals for euro 13,95

yes

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I have dietary constraints....

I give permission to store my email address for communication about the workshop. After the workshop took place we will no longer keep your email address.

Yes, but please remove my email after the workshop took place.

Yes, and I agree that my email can be added to the mailing list of the "predicting evolution network group" of the Origins Center, to get informed about future activities of this network group.

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