Registration Form Summer 2014


Thank you for your interest in the Patent Law Summer Intensive at the Benjamin N. Cardozo School of Law. Please answer the following questions to enroll in the 2014 Summer Patent Law Intensive.

Note: Current Cardozo students should register in person at the Office of the Registrar.

* 1. Demographic Information

* 2. I wish to attend

* 3. If single afternoon(s) only, please indicate which afternoon(s):

* 4. Gender

* 5. Date of Birth

Date of Birth:

* 6. Emergency Contact: Please provide contact information for someone we can contact in case of emergency.

* 7. Will you require a visa for participation in this program?

* 8. International Participants Only: Passport Information

* 9. My status is: