2019 Symposium: Participant Registration

Man and Woman in Dialogue

on Identity, Complementarity, and Mission

June 26-27, 2019

Washington, DC

Topic | Venue | Schedule | Speakers

Participant Registration Form 2019

Please fill out the form exactly as you would like your name, degrees, title, and affiliations to appear in the program. The form must be completed by May 8, 2019, in order for your spot to be reserved. Please note that the format of this Symposium, and the select number of attendees, presumes that participants will attend the entire event. If something changes and you are no longer able to attend, kindly let Mary Hasson know as soon as possible. We are looking forward to seeing you!

Name*
Prefix First Last
Degrees (Ph.D., J.D., etc)
Job Title*
Affiliation*
Email*
Cell Phone (or best number to reach you)*
Dietary Restrictions
Will you be staying at the Cosmos Club?*
CWF has reserved a room block for two nights (check in June 25 and check out June 27) at the conference location, The Cosmos Club, at the rate of $195/night. If you would like to book a room, please indicate the nights you will be staying and we will send more information in a later email.
- June 25 only
- June 26 only
- Both June 25 and 26
- I will not be staying overnight at The Cosmos Club
Will you attend the cocktail hour and welcome dinner at 6pm on Tuesday, June 25?*
Cocktails and dinner will be held at Pisco y Nacza restaurant, 1823 L Street NW, Washington DC.
- Yes
- No
Questions or Comments
Name
This field is for validation purposes and should be left unchanged.

Contact

Mary Hasson

mhasson@eppc.org

202-715-3492

Natalie Robertson

nrobertson@eppc.org

202-715-3515