Registration Form

Last Name(required)

First Name(required)

Email(required)

Phone(required)

Company, Institution, Agency(required)

I WILL ATTEND THE ICE BREAKER ON JUNE 16(required)

Yes

I WILL ATTEND THE PUB NIGHT ON JUNE 17(required)

Yes

I WILL ATTEND THE BANQUET ON JUNE 18(required)

Yes

I WILL ATTEND AT LEAST ONE OF THE SHORT COURSES(required)

Yes

I WILL BRING A NON-PARTICIPANT WITH ME TO THE BANQUET (140$/person extra charge)(required)

Yes

Please list any allergies or dietary restrictions (write NONE if this does not apply)(required)

Please list any accessibility issues requiring accommodation (write NONE if this does not apply)(required)

I WILL BE GIVING A TALK(required)

Yes

Maybe

I WILL BE PRESENTING A POSTER (required)

Yes

Maybe

I AM A GRADUATE OR UNDERGRADUATE STUDENT(required)

Yes

Other Details We Might Need To Know:

PAYMENT
PLEASE CLICK THE PAY NOW BUTTON TO GO TO THE PAYMENT PAGE

CERC.OCEAN LABORATORY
Dalhousie University
6375 Edzell Castle Circle
Halifax, NS, B3H 4R2

With the participation of St-Mary's University

THANK YOU TO OUR SPONSORS !

asita@dal.ca
Tel: (902) 494-4372

Header photo credit: B.P. Sheaves