JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Event registration - Pond Life - Cross Currents
Event Timing: May 24-26 2021
Event Address: Virtual Zoom (Edinburgh and elsewhere)
Contact us at
scoffintpt@gmail.com
Note: Demographic information (indicated "Optional Demographics") collected and used anonymously for the grant funding that has enabled us to present this conference.
DAY OF EVENT REGISTRATION: Register first, then see access information here:
https://drive.google.com/file/d/1KfO2iuNXRVbIhZcft34RvfqdbDDYuhYq/view?usp=sharing
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Organization
Your answer
What days will you attend?
*
Day 1 - May 24
Day 2 - May 25
Day 3 - May 26
Required
Alternate contact information (phone or email)
Your answer
Instruments and fields of interest
Your answer
Location (country or region) (Optional Demographics)
New York State
Other U.S. location
Canada
European Union
United Kingdom
South or Central America
Asia
Australia
Africa
Other:
Clear selection
Age (Optional Demographics)
Under 18
18-25
26-40
41-65
Over 65
Clear selection
Gender (Optional Demographics)
Male
Female
Non-binary
Prefer not to say
Clear selection
Race (Optional Demographics)
White
Hispanic
Black
Native American
Asian
Prefer not to say
Other:
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Historic Brass Society, Inc..
Report Abuse
Forms