C3 Summit 2018 Registration
Email address *
Preferred First Name (to be listed on badge) *
Your answer
Last Name *
Your answer
Cell phone *
Your answer
Institution *
Your answer
What is your department or program affiliation? *
Your answer
What is your role/title? (Ex. undergrad student) *
Your answer
How are you getting to/from the Summit? *
If flying in/out of Burlington, how will you travel to Middlebury? *
Where have you reserved a room? (Rooms fill up FAST!) *
Will you attend the Friday night reception and dinner? *
Saturday breakfast? *
Saturday lunch? *
Saturday dinner? *
Sunday breakfast? *
Sunday lunch? *
Do you have any food allergies or dietary restrictions? *
Required
Do you require accommodations? If so, please let us know what we can do to support you.
Your answer
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