2019 Science in the Northwoods Conference Registration 2019 Science in the Northwoods Conference Registration Name* First Last Organization or Agency Name*Email* Phone*Name to appear on nametag*Do you have any dietary restrictions?*NoYesSpecify your dietary restrictions here:Alcohol Policy*Read Kemp Station's Alcohol Beverage User Agreement. (opens in a new window) By checking this box, I confirm that I have read Kemp Station's Alcohol Beverage User Agreement and will adhere to the policies. Lodging at Kemp Station*Lodging at Kemp is dormitory style. You will be assigned to a room based on gender. You may request to share a room with specific individuals. I need lodging both nights, 10/09 & 10/2019 I will not need lodging at Kemp Station I only need lodging 10/09/2019 I only need lodging 10/10/2019 Roommate Request:If you would like to be assigned to a room with 1 or more other individuals, please list their names here.Do you wish to present at the conference?*YesNoPresenter Information Please list ALL authors, in the following format: Doe, Jane A., University of Wherever, J. A. Smith, Whatchamacallit College, and A. Einstein, University of Whatever. Presentation TitleAuthorsAbstractDo you agree to share a PDF of your PowerPoint?YesNo Fee Calculation Conference Fee Price: $100.00 Lodging FeeOne night of lodgingTwo nights of lodgingTotalPlease make note of your total. In your confirmation, you will be provided a link where payment can be made with your credit card. $0.00 Check Your Information Please! Before you click "Submit" be sure to check your information for accuracy, especially your email and phone number.