PARASOL

1

Name* This field is required.

Prefix

First Name

Last Name

Suffix

2

Email* This field is required.

example@example.com

3

Are you attending on behalf of a pharmaceutical, biotech, or other for-profit company (e.g. health insurance, venture capital, etc.)* This field is required.Industry representatives need to contact the organizers before completing an RSVP. Please contact gonwuka@is-gd.org before completing this RSVP

YESNO

4

Have the organizers invited you to RSVP?* This field is required.Please contact gonwuka@is-gd.org before completing an RSVP

YESNO

5

Affiliation* This field is required.(Your university, company, etc)

6

Will you attend the meeting in Bethesda (October 7 & 8)* This field is required.

Yes, in person

Yes, virtually

No, unable to attend either in person or virtually

7

ACCOMMODATIONS

We have blocks of rooms at the Bethesda Marriott. If needed, please book your hotel rooms following this link by September 16

8

Dietary Restrictions(Please select all that apply)

Vegetarian

Vegan

Gluten Free

Food Allergy (Please describe on the next card)

Other (Please describe on the next card)

9

Special Request / Accessibility Needs (if any)(Please provide more information to enable us to host you adequately)

10

Emergency Contact * This field is required.

First Name

Last Name

11

Emergency Contact Email

example@example.com

12

Emergency Contact Phone Number* This field is required.

Area Code

Phone Number

13

May the PARASOL team and sponsors use photos and recordings of you in future marketing/publicity materials and news items connected to the project?* This field is required.

Yes

No

14

Terms and Conditions* This field is required.I agree to the terms & conditions for this event.

I agree to the Terms and Conditions.