ETAP4 Registration Form
Registration through September 15, 2018 11:59PM EST will be considered early; registration after that is late. Early registration will be free for students and postdoctoral scholars, late registration will be $100. For faculty members, early registration will cost $150, late registration will be $200. Registration for the conference dinner is separate and is $25 for everyone. Payment for registration and the conference dinner can be made here:
. You will not be considered registered until you have paid the fees required. If you are registering early as non-faculty and will not be attending the conference dinner, you do not owe any fees and do not need to fill out the payment form at all.
First name (will be used for your name tag)
Last name (will be used for your name tag)
Affiliation, i.e., university, company, etc. (will be used for your name tag)
Post-baccalaureate (not currently a student)
I have paid the required registration fees at
Faculty registration ($150 early, $200 late)
Late student registration ($100)
I am not faculty and am registering early (FREE).
I have registered for the conference dinner (Friday evening, October 12, 2018) and paid $25 at
No: I'm not attending the conference dinner
Dependent care: we would like to be able to provide assistance in finding/subsidizing dependent care. Please indicate if you'd be interested in more information and describe your situation. (optional)
Please let us know if you need any accessibility accommodations as a conference attendee, e.g., hearing, visual, etc. (optional)
Please let us know if you have any dietary restrictions so we can plan meals. (optional)
A copy of your responses will be emailed to the address you provided.
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