FHL Centennial Symposia Registration Form

 

Attn: Alana Hysert

Centennial Coordinator

Friday Harbor Laboratories
620 University Road
Friday Harbor, WA 98250 USA

SYMPOSIA SELECTION	Registration Fee
1. August 23-26, 2003. Impacts of Instruction: How Courses and Mentoring at the Friday Harbor Laboratories Have Influenced Biological Research and Education. Organized by Dr. Alan Kohn.	$110/day (unless invited participant)
2. August 28-30, 2003. Symposium on New Approaches in Marine Organic Biogeochemistry. Organized by Drs. Ronald Benner, Steve Emerson, Cindy Lee, Pedro Verdugo and Stuart Wakeham.	$400 flat fee
3. June 6-10, 2004. Comparative Developmental Biology: Insights into Embryos, Cells and Evolution. Organized by Drs. Billie Swalla, Richard Strathmann, Victoria Foe, Garrett Odell, George von Dassow, and Volker Schmid.	N/A
4. August 23-27, 2004. Managing for Resilience: An Integrated Approach to Coastal Marine Science and Conservation. Organized by Drs. Jane Lubchenco and M. Patricia Morse.	N/A
5. August 29-September 3, 2004. Calcium Regulated Photoproteins and Green Fluorescent Proteins. Organized by Dr. William W. Ward.	N/A
6. June 5-10, 2005. Biological and Computational Perspectives on Intelligent Systems II. Organized by Drs. Eric Horvitz and Dennis Willows.	N/A

What symposia are you registering for?

PERSONAL INFORMATION

Full name: Last, first, middle

Academic Title

Institution and Department

Full address including zip

Phone

FAX

e-mail address

Nature of participation:
a. Invited presentation
b. Demonstrations, or other
c. Group discussion
d. Posters (limit size to 39" x 47") Please provide the title of your poster below.

e.Attendance only

HOUSING INFORMATION

If you want to stay on campus fill out the following section of the form. On-campus housing is only available the days of the symposia. Please note that there is very limited housing and it is assigned on a first come first serve basis. If you are making arrangements to find accommodations elsewhere on the island be aware that hotels/ B&Bs are limited and we advise you make plans well in advance. Off-campus Accommodation Options

Housing space requested:

Will you be accompanied by a companion or spouse? (Name? answer optional).

Will you be accompanied by children? Number? Ages? (Please note that there is VERY limited family housing units)

FOOD SERVICE INFORMATION

The registration fee for the symposium includes three meals per day at the FHL Dinning Hall for the duration of the symposium.

Dining Hall meal service is provided by the UW's Housing and Food Services Department in Friday Harbor. For special dietary needs only contact the Dining Hall Manager Laurie Spaulding (spauldla@u.washington.edu).

Are you vegetarian?

Do you have any special food requirements?

INVITED PARTICIPANTS INFORMATION (This section is only for those persons invited to present at the symposium)

***Please look for invited participant registration details on the individual symposium links on this web site.

Name and affiliation as you would like it to appear on you badge:

 

Arrival Date and Time:

Departure Date and Time:

Your Presentation

Please let us know the length of your presentation is (more than 20 min?).

 

Facilities/equipment needed:

a. PowerPoint projector
b. 2 x 2 slide projector(s)
c. overhead projector
d. video projector(s)
e. film projector
f. DVD projector
g. Specific needs for planned demonstrations
h. Other (specify)

The tentative program includes some rough titles provided by the symposium organizer. You are invited to provide you own title below:

PAYMENT

Methods of Payment: (check, credit card, or purchase order )

Check:

Credit Card:

If you feel uncomfortable including your credit card info via email, please FAX this information to 206-543-1273 or call Alana at 360-378-2165

Name:

Card Number:

Expiration Date:

Purchase Order:

Purchase Order Number:

Billing Address: