Dinner and a Draft Registration
Dinner and a Draft Registration
Name
Name
*
First
Last
Email
*
Phone
Phone
*
-
###
-
###
####
Year in School
*
Year in School
1st (undergraduate)
2nd (undergraduate)
3rd (undergraduate)
4th (undergraduate)
G (graduate)
Postdoc
Date of the Dinner and a Draft you wish to register for
Date of the Dinner and a Draft you wish to register for
*
/
MM
/
DD
YYYY
Please list any dietary restrictions.
If none, please leave blank.