3Music Refresh Pre-Registration Form

General Information

Please fill out this form to pre-register for 3Music Refresh.
1.Full Name :
2.Email Address: (Please enter a valid email address where you can be reached for event updates)
3.Affiliation: (University/Institution)
4.Affiliation : (Hall of Residence)
5.Student ID (if applicable):
6.Area of Study: (Major, Department, or Field)
7.Degree Level:
8.Year of Study (if applicable):
9.Areas of Interest: (Are there any specific Breakout Sessions you would particularly be interested in?)
10.By submitting this form, you agree to receive email updates about the event.

Thank you for your pre-registration!