Webinar Series Registration Form

Registration deadline: February 19, 2013

Complete the following form and click on SUBMIT to confirm your registration. Be sure to hit the SUBMIT button before leaving this page or your information will be lost. We encourage you to compose your answers to the longer questions in a word processor and to cut and paste the resulting text into this form.
Contact Information

(Please Note: Your email address is what we use to track your application and participation in the workshop. Be sure to use the same email address in all forms relating to your workshop participation. This email will also be our primary means of communication with you.)
Question Set

Why are you interested in participating in this webinar series? Check all that apply.

As part of your participation in this webinar series, we would like each participant to develop a portfolio of images to be shared by the workshop to explore their composition and meaning, and to submit a teaching activity that uses geophotography as a central theme.

Race (select one or more):

Disability status (select one or more):

Research ReleaseI have read the Description of the Research Project and Implications for 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.

Workshop Product ReleaseIn confirming my registration for this webinar series, I agree that any audio recording or images (still or video) made of me during the series may be used on the 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 by the workshop series, PIs, and conveners for development of future workshop materials, for scholarly reports, and for promotion of the webinar series. Attribution for original contributions will be made whenever possible.