Emeritus Registration

Personal Information

Registration Please complete this registration form no later than Wednesday, September 6, 2023.

First Name  

Last Name  

Preferred Name  

Special Accommodations Please let us know if you require any special accommodations (i.e., ADA, interpreter, hearing impaired, etc.).

Your E-Mail Address  

Attendance Preference  

In-person at CESVirtual through Microsoft Teams

Dietary Restrictions?  

NoneVeganVegetarianGluten FreeDairy FreeNut AllergyOther

If selected other, please specify your dietary restrictions.

Additional Information Required for In-person Attendees If you plan to attend in-person at SNL/NM, please note we will be hosting at a venue outside of the Labs. There is no need for badging in this facility.