PhysioNet/CinC 2019 Hackathon
Please complete this form for the PhysioNet/CinC 2019 Hackathon.

Location of Hackathon: 1 Fusionopolis Way, #14 Connexis South, Singapore 138632
Date and time: Sunday, 8 September 2019 from 9:00 AM to 1:00 PM local time.
Deadlines: TBA
Please note: You must pre-register at least 4 days in advance to avoid delays on the day.
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What is your full name? *
What is the name of your university, company, or other entity for which you work? *
What email address did you use to submit code for the Challenge? *
What email address did you use to submit your CinC abstract? *
What email address do you want to use to receive Google Cloud credits?  (Please ignore if you do not wish to use Google Cloud Credits.)
What is the name of your team for the Challenge (not the Hackathon)? *
What is the name of your team for the Hackathon? *
What are the names of your team members not attending the Hackathon? (Other members who attend the Hackathon must also register. Please write none if you are working alone.) *
What is your preferred programming language for the Hackathon? *
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