Kavli Institute Assembly Registration Form Attendee InformationName(Required) First Last Title Email(Required) CC Email Address (Administrative Contact) Please list any dietary restrictions or food allergies below. Type "none" if you have none.(Required) Travel and LogisticsWill you need hotel accommodations in the group room block?(Required) Yes No Check-in Date(Required) MM slash DD slash YYYY Check-out Date(Required) MM slash DD slash YYYY Special RequestsDescribe any special needs you may have for accommodations, including information about additional night’s stay (if needed).Invited Kavli Institute ScientistsAs part of completing your registration, please submit the following information for the Kavli Institute Assembly Mini-Symposium. Presentations will be selected for a short talk or a poster, and participants will be notified after May 17th. The abstract should include a Title (~200 characters) and Body (~1600 characters). After submission, changes may be made until May 17, by emailing science@kavlifoundation.org.HeadshotMax. file size: 4 MB.BioTitle and Abstract
