National Kids Judge! Neuroscience Partnership

Symposium Registration

"National Kids Judge! Partnership:
Past, Present and Future"
Satellite Symposium to the 34th Annual Meeting of the
Society for Neuroscience Meeting, San Diego, 2004

Friday, October 22, 2004
12:00 - 6:00 pm (symposium) 6:00 - 7:00 pm (reception)
Manchester Grand Hyatt - San Diego
Cunningham C (symposium) and Cunningham B (reception)
One Market Place, San Diego CA 92101

Registration is free, however space is limited. Please pre-register by Friday, October 1 to assist us in providing scholarship funding, adequate eating, catering, name badges, etc.

Kids Judge! Symposium Registration

Please complete the form below and click on the "Submit Information" button at the bottom of the page. Use the "Tab" key to move between information fields. All fields marked with a red * are required.

*I will attend the: symposium and reception symposium only reception only
*Have you been involved in Kids Judge! programs as an organizer, participant, partner, or sponsor?	Yes No If yes. . . when and where, and your role in the program.
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*First Name (or Initial)
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*Last Name
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	If Other
Degree Currently Pursuing	If Other
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*Institution / Company Name
*Street Address
*City
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*May we publish your contact information in a hardcopy directory to be distributed at the meeting.		Yes No
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Last Revision: September 14, 2004
Copyright © 2004, National Kids Judge! Partnership. All rights reserved.
Please address all comments and concerns regarding this site to the KJ! Webmaster.
Funding provided by grant DA-13265 from the National Institute on Drug Abuse to BEEMNET, Inc.