EWIC2016 Registration Question Title 1. Please provide your name, affiliation, and contact information Name Institution Email Address Phone Number Question Title 2. Please indicate your current position Student Postdoctoral or clinical fellow Faculty Intramural investigator (NIH / CDC etc) Other professional Question Title 3. Will you require parking at Children's Hospital of Philadelphia?$5 parking vouchers are available if you sign up for parking in advance. Valid for the Wood Center Garage (24 h)—entrance off Civic Center Boulevard on Osler Circle. Thursday & Friday Thursday only Friday only No thanks Question Title 4. Will you present a poster at EWIC? Yes No Question Title 5. Students and postdocs only: Would you like to present at the Trainee Data Blitz? The Trainee Data Blitz (Thursday afternoon) provides students and postdocs the opportunity to present a brief (1-2 minute) resumé of their poster with the benefit of only 2 slides. More details will be provided to those trainees who choose to participate. Space is limited to the first 15 respondents. Sign me up to present at the Trainee Data Blitz No thanks Question Title 6. Will you join us for dinner Thursday, October 27?Dinner 8:00 pm at Zahav Restaurant, 237 St James Place, Philadelphia, Tel: (215) 625-8800. $45 per person not including beverages, gratuity, or tax. Please register soon to avoid disappointment! I will attend dinner I will attend dinner plus 1 guest I will not attend dinner Question Title 7. Will you join us for lunch Friday, October 28 (provided by EWIC/CHoP)? Yes No Done