IZN Retreat Registration 2025

Retreat Registration

IZN Retreat 2025: July 13-14 in Kloster Schöntal
Full Name*

First NameLast Name
My status*
Please indicate the graduate program in which you are enrolled.

IZN International Graduate ProgramHeidelberg Biosciences International Graduate School (HBIGS)School of Translational Medicine of the Medical Faculty Mannheim (STMM)I am not currently enrolled in a graduate school.Other
Last name of my group leader (or self)*
Institution*

Institution

Department

CityCity

Postal / Zip Code
Institution Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Institution E-mail*
I will attend:*

Sunday onlyMonday onlySunday and Monday with overnight stay
Room preference:
My preferred roommate(s) is/are:

First Name 1Last Name 1
First Name 2Last Name 2
First Name 3Last Name 3
First Name 4Last Name 4
First Name 5Last Name 5
Special food requirements
Transportation to Schöntal:*

by group bus (from Heidelberg)by group bus (preferably from Mannheim)by bike on SATURDAY (contact Peter Bengtson for details: bengtson@nbio.uni-heidelberg.de)by private car or other means
Transportation from Schöntal:*

by group bus (to Heidelberg)by group bus (preferably to Mannheim)by private car or other means
I would be willing to introduce one of the the following speakers:

XX (Place, Country)XX (Place, Country)XX (Place, Country)XX (Place, Country)XX (Place, Country)XX (Place, Country)XX (Place, Country)
I am presenting a poster:*

YesNo
I will enter the following competitions:

IZN/Foundation BrainAid Master Thesis Award (submission due date 30.05.2025)IZN/Foundation BrainAid Dissertation Award (submission due date 30.05.2025)IZN/Schaller Young Investigator Award (submission due date 30.05.2025)Neuroscience Art Contest
I will join for:*

Canoeing (~3.5 hours, swimmers only, 24€ participation fee)Guided monastery tour (~1 hour, 7€ participation fee)Neither
Comments for the organizers
Please verify that you are human*
I will pay now by PayPal for:
prevnext( X )
Canoeing(immediate payment via Paypal)
€24.00 Quantity



Monastary Tour(immediate payment via Paypal)
€7.00 Quantity



NeitherI will pay my participation fee via bank transfer to Anna Hertle: IBAN DE75 6725 0020 1001 3183 10.
€ Free



Total

€0.00
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