45th American Indian Workshop 2024
Dear Participant,
This form is to help the 45th AIW Organizing Committee prepare to receive the guests and speakers in Pardubice, Czech Republic, between April 16–19, 2024.

All information collected will be handled confidentially and will only be available to the 45th AIW Organizing Committee directly dealing with workshop administration. Your data will be stored on a secure computer until September 30, 2024.

Please be aware that some activities at the conference might be photographed and video recorded for AIW promotion. If you wish to be excluded from the records, please let us now using the email below.

By completing the registration survey, you accept the above conditions and agree to pay a conference fee
If you have any questions, please contact the 45th AIW Organizing Committee at the following email address: aiw2024pardubice@gmail.com.

Thank you very much for your time and help, we are looking forward to seeing you all in Pardubice in April.

The 45th AIW Organizing Committee

[More information at kska.upce.cz/aiw2024]
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Family name, first and middle name(s). (Please include your title, eg. Dr/PhD/Prof.) *
Email address you will use to communicate with the organizers (please make sure you check the given account from time to time. Make sure you fill this out even if you have received and acceptance email.) Make sure you check your spam folder.
*
Are you a presenter/round table panelist?
Clear selection
If yes, what is the title of your presentation?
Is there any accompanying person coming with you who is to participate in AIW?
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If you answered "yes" please include here the name of the person accompanying you. (For the name tags.)
Name of your home institution: full name/abbreviation/country.
*
Please mark which optional activities you plan to attend.

1. On Thursday, April 18, Social Dinner at the Pardubice Brewery, 650 CKZ (approx. 25 EUR).

2. On Friday, April 19, trip to the Opočno State Castle and Great Pardubice Steeplechase racetrack, 1000 CZK (approx. 40 EUR).

Both optional activities will be paid at registration on site via cash.
Will you need an invoice?
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If yes, please provide the following information for the invoice:
• name/institution you need the invoice for
• address
• tax number

For any further question regarding payment and requesting a special invoice, please contact aiw2024pardubice@gmail.com (subject: PAYMENT AIW 2024).
Will you need a certificate of participation?
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Will you be attending the conference onsite or online? *
If onsite, please specify how many days of the workshop are you planning to attend? (Please tick every box that applies.)
Do you have any special dietary requirements?
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Do you require any special assistance to participate?
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If yes, please specify:
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