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ONLINE REGISTRATION FORM
ZOOLOGY DEPARTMENTAL RETREAT
25-27 September 2009

Please make checks payable to the University of Oklahoma and deliver to:
Dave Hambright

ADDRESS

CITY STATE ZIP CODE

PHONE EMAIL

MALE FEMALE FAMILY

Will you need a ride in the OU van? Yes No

PREFERRED ROOMMATE(S) REGISTERING SEPARATELY:

Indicate any information that you feel would enable us to better provide for your housing needs:

Please bring your own bed and bath linens. No pets allowed.

PRESENTATION INFORMATION:

Title for your talk (if applicable):

Indicate any special audiovisual requests here:

CHILDREN'S ACTIVITIES:

Do you have any children, and if so, would you be interested in contributing some money to hire one or two OU students to assist with activities and events for the kids during selected portions of the retreat (such as during talks)? If so, indicate the number of kids and their ages here:

DINING PREFERENCES:

VEGETARIAN SPECIAL DIETARY REQUIREMENTS

PACKAGE 1 - Friday arrival (Any or all meals from dinner Friday through breakfast on Sunday)

PACKAGE 2 - Saturday arrival (Any or all meals from lunch Saturday through breakfast on Sunday)

PACKAGE 3 - Meals only - no housing

PACKAGE 4 - Graduate Students only - no cost - (Department Subsidy)

Please make checks payable to the University of Oklahoma and submit them to Dave Hambright.

If you need to make special arrangements or have any questions, please contact Janet Isaac, , (405) 325-7431 or Donna Cobb, , (405) 325-7430.

ACCOMMODATIONS ON THE BASIS OF DISABILITY ARE AVAILABLE BY CALLING (405) 325-7431 OR (580) 564-2478,
OR SENDING AN EMAIL TO AS SOON AS POSSIBLE.