Full Name:
University Affiliation:
E-Mail Address:
Address Street: City: Province: Postal Code:
Gender Male: Female:
Registration Type Student: Professor:
Would you be interested in receiving information about women in science events from the Jade Foundation? Yes: No:
Presentations What form would you like to present your research in? (Though you do not have to present anything, in the event that we get more registrants than we can accomodate, presenters will get priority). Talk (10 min, 2 for questions): Poster: No Presentation: Language: English: French:
Would you be interested in attending a french-language talk? (If there is not enough interest, the talk will be given in English): Yes: No:
Banquet The banquet is included in the registration fee. You have a choice of Beef, Salmon, or a Vegetarian meal. Which would you prefer? Beef: Salmon: Vegetarian:
Activities Would you like to participate in the pub crawl on Friday the 12th, or an alcohol-free alternative? (The legal drinking age in B.C. is 19) Pub-Crawl: Alcohol Free Alternative:
Accomodations Will you require accomodations at the hotel? Yes: No: Would you prefer a single room or a double room? A single room will be an extra $180. Double Room: Single Room: If you selected a double room and have a roommate preference, please list them here. We will try our best to accommodate your prefences. (Please note that your preferred roommate must also list your name on their registration form):
Roommate Preference:
On Friday, October 12th there will be tours of TRIUMF and the NRC Fuel Cell Lab. You will only be able to go to one of the two facilities, so please list your preference here: Triumf: NRC Fuel Cell Lab:
Do you give us permission to print your e-mail address in the the conference program? Yes: No:
Would you be interested in a free Plotomatic account? This requires giving your e-mail address to Scott Patten, owner of Plotomatic. Please visit the Plotomatic website for more information. Yes: No:
Abstract Please paste the text of your abstract into the following text box. If you want your abstract to contain special characters like Greek letters or mathematical symbols, please format it in LaTeX. Please limit your abstract to 300 WORDS OR LESS (2000 characters). Title:
Medical Information Please inform us of any medical or dietary concerns we should know about, such as allergies or a need for refrigerated medication.
Additional Comments If there is anything else you think we should be informed of, please let us know here.