Participant Registration Form

Please take a moment to fill out the form below. We ask that you be sure to fill out the form exactly as you would like to be listed in the program. This year’s symposium will be held on May 30-31, 2018. We ask that all participants plan to stay for the entire duration of the two-day conference. We look forward to having you join us!

Name*
Prefix First Last
Degrees (Ph.D., J.D., etc)
Job Title*
Affiliation*
Email*
Cell Phone (or best number to reach you)*
Dietary Restrictions*
CWF has reserved a room block for three nights (May 29-31) at the conference location, The Mayflower Hotel. Are you interested in staying overnight at The Mayflower Hotel at the rate of $249/night? If yes, we will pass along more information in a separate email.*
- Yes, May 29 only
- Yes, May 30 only
- Yes, both May 29 and 30
- Yes, all 3 nights May 29-31
- No, I will not be staying overnight at The Mayflower
Questions or Comments
Email
This field is for validation purposes and should be left unchanged.