HamSci Workshop 2023

HamSCI Workshop 2023

Friday, March 17, 2023 – Saturday, March 18 2023

The University of Scranton

https://hamsci.org/hamsci-workshop-2023-forging-amateur-professional-bonds

This form is for in-person registration only. Please see hamsci.org for virtual participation.

*First Name

*Last Name

*Address Line1

Address Line2

*City

*State / Province

*Zip / Postal Code

*Country

*Phone

*Email

Call Sign

Institution/Organization/Club

Dietary Needs

Registration

Friday Registration: includes conference talks & presentations, continental breakfast, lunch, and refreshments.

Saturday Registration: includes conference talks & presentations, continental breakfast, lunch, and refreshments.

Friday Keynote Banquet: ticket required

Saturday Dinner: ticket required.

*I would like to register for the following (select your choices):

Friday Registration - $35.00
Friday Keynote Banquet - $45.00
Saturday Registration - $35.00
Saturday Dinner - $20.00

I would like to support amateur radio activities at the University of Scranton with my gift of:

$

Please select the area you wish to support

Are you under the age of 18?

Yes
No

If you are under 18 please list the name and contact information for your parent or guardian

I understand that I am required to sign and abide by The University of Scranton HamSCI 2023 Waiver. If I am under 18, the waiver must be signed by a legal parent/guardian and specify the name(s) of the responsible adult(s) who will remain with me during the entire workshop.

*Affirmation of Waiver

Yes, I understand and acknowledge the waiver information above
No, I do not understand and acknowledge the waiver information above.

Link to waiver: https://hamsci.org/sites/default/files/pages/hamsci_workshop_2023/waiver_hamsci_2023.pdf