Symposium Registration

A Registration Form for the Symposium in Honor of Chérif Keïta

This field is for validation purposes and should be left unchanged.
Name
Registration Type
Please list any accessibility needs and/or accommodation requests that you may have
Please list any dietary restrictions and/or allergies that you may have
Dinner at Reunion
Will you be attending the dinner/mixer at Reunion restaurant in downtown Northfield on the evening of Friday, May 8th?
Please list the contact details of the person we should contact on your behalf in the event of an emergency. Please list: name, phone number, email
Max. file size: 100 MB.
If you are presenting, please upload your presentation slides here.