Neuroscience Retreat 2007 Registration

1. First Name:
2. Last Name:
3. Status: faculty postdoc graduate student other
4. Program affiliation: Committee on Computational Neuroscience Committee on Neurobiology Integrative Neuroscience CNS and CON CNS and IN CON and IN all three
5. Lab:
6. Email:
7. Phone:
8. Special Dietary Considerations:

If adult family members are accompanying you, please register each individually. Please notify Diane Hall of accompanying children. 

1. Accommodation Choice

   
   Day Guest Overnight Accommodations

The Marina Grand is a hotel that consists of privately owned condominiums, some of which are rented to the public. The configurations are below:

1. Room Choice

   
   Marina King Loft Suite: accommodates 5-8 guests (5 beds)
   Marina View Suite: accommodates 3-8 guests (4 beds)
   Marina Queen: accommodates 2-4 guests (2 beds)
   Marina King: accommodates 1-2 guests (1 bed)
   
2. 
   Roommate choice: