2024 Conference Registration Form

2024 Science Conference Registration Form

Early registration ended on January 10th and registration is now $75. All registration fees are optional to allow for maximum participation. If you cannot pay for any reason or received a free registration from your sponsoring organization enter a zero in the payment field below.
Name*

First NameLast Name
Name to appear on badge*
Affiliation*
E-mail*
I am attending the evening social event on Wednesday*

YesNoMaybe
Registration Fee (Donation)

prevnext( X )
USD2024 Science Conference Registration Fee *If you cannot pay the registration fee for any reason or received a free registration from your organization please enter a zero in this field before submitting. If you would like to make a donation to UCSRB to cover conference costs for others please enter the amount of your donation.
Early registration ended on January 10th. The registration fee has increased to $75.

Donations to cover conference costs are welcome- just enter the amount you would like to donate.

Once you submit your form you will be directed to submit a credit or debit card payment via PayPal. If you would like to pay another way (check or cash for individual or group) please enter a zero and contact Amanda Ward (amanda.ward@ucsrb.org) for payment. Registration fee is refundable upon request until January 18th.

A registration confirmation and receipt will be sent via the email listed above.

Thank you.
Should be Empty:

2024 Science Conference Registration Form