Midwest Sports Analytics Meeting - Formstack

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Name*

First Name

Last Name

Institutional Affiliation*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Twitter handle, if available

Identification*

High-school, college, or university personnel [$20] High-school or college student [$20] General public [$20] Central College student/staff

Are you wanting to register your students? If so, how many? [$20 each]*

List your students' full names here [comma-separated]*

Are you wanting to register any general-public attendees? If so, how many? [$20 each]*

List your general-public guests' full names here [comma-separated]*

Are you (or your students) interested in potentially giving a talk or presenting a poster?*

Yes No

If yes, further information will be shared with you.

Payment Method*

Credit

Cost* $

Payment

Cost* $

Credit Card*

Use the above address as billing address

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code