Attendee First Name (and nickname if you wish it to be used on your name badge) *
Your answer
Attendee Middle Initial
Your answer
Attendee Title (will be used on name badge if desired) *
Attendee Institution (will be inserted on name badge) *
Your answer
Attendee Cell Phone Number to call or text (just in case) *
Your answer
Attendee's Emergency Contact Person and Telephone Number *
Your answer
Attendee Pronouns *
Your answer
Guest(s) Name(s) (if any) - please provide the name(s) of your guest(s) as they would like it to appear on their name badge (Title [Dr.] Full Name, Institution, First Name or Nick Name if different from first name), Pronouns. *
Your answer
Attendee will partake in the following food/beverage related events. (This information helps us to give exact numbers to the hotel as we know some will arrive early and some late.) *
Required
GUESTS are welcome to attend meal/beverage functions. My GUEST will attend the following food/beverage related events (Reception with food is $30 per person, Breakfast is $30, Lunches are $40 per person, and the Banquet dinner which includes wine is $55 per person)
Attendee meal preferences
Clear selection
Attendee Banquet (Sat Night) Meal Choice *
GUEST meal preference
Clear selection
GUEST Banquet Meal (Sat night) Choice
Clear selection
Tell us anything else we need to know about you or your guest in order to provide an excellent experience at the NAK meeting. Email Kim Scott, business manager with any questions (kims@nationalacademyofkinesiology.org)
Your answer
Thank you for providing your registration information. You will be receiving an invoice (if appropriate) by email. New fellows, speakers who are not fellows, and award winners receive a registration waiver.
A copy of your responses will be emailed to the address you provided.