IC3 Event Application Form
Please fill out this form to apply for attendance at the 2019 Boot Camp on June 10-16, 2019 in Ithaca, NY.
For a summary of last year's event, please see https://www.initc3.org/events/2018-07-12-IC3-Ethereum-Crypto-Boot-Camp.html
First name *
Your answer
Last name *
Your answer
Preferred Email Address *
Your answer
Company, University, or Institution *
Your answer
Phone number *
Your answer
For Students (all others indicate NA)* indicate which option applies to you *
Required
For Students (all others indicate NA): Please indicate below your (1) Major, (2) Academic Advisor and (3) Expected Graduation Date *
Your answer
How did you hear about this IC3 Event? *
Your answer
What are your principal blockchain and smart contact interests? *
Your answer
Please indicate below if you are applying to attend the Boot Camp *
Required
Please indicate below if you you are applying to attend the Boot Camp Awards and Celebration Dinner
Please List any dietary restrictions
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