This registration form is for use only by applicants accepted to the workshop. If you have not been notified of your acceptance, do not complete this form. For further information, contact Krista Larsen.
You must complete this form in one sitting; you cannot save a portion and return to fill out the rest later. Also, remember that you will not be able to alter your registration information via this form once you have submitted it, so please be sure you have completed all fields before submitting.
I have read the Description of the Evaluation of Workshop Participation (opens in a new window) or it was read to me. I know the possible risks and benefits. I know that being in this study is voluntary. I choose to be in this study. I know that I can withdraw at any time. I am at least 18 years of age and voluntarily grant permission for the described release and use of notes and comments regarding me in the workshop.
In confirming my registration for this workshop, I agree that any audio recording or images (still or video) made of me during the workshop may be used on the InTeGrate project website, in printed project publications, and in materials developed by the project. I further agree that my contributions to creative works that emerge from workshop activities (e.g., discussions on the email list, contributions to the web page, summaries of group discussion, etc.) may be used for development of future workshop materials, for scholarly reports, and for promotion of the project. Attribution for original contributions will be made whenever possible.