Vision Research Scientific Forum
Thursday, November 21, 2019
Registration @ 12:30 pm
Havener Eye Institute, 915 Olentangy River Road, Room 3000, Columbus, OH 43212

Registration

Once you complete the registration information below and click the "Done " button, you are registered. You will not receive a confirming e-mail. For further information, contact lauras@pbohio.org. 
1.First Name
2.Last Name
3.Job or Volunteer Title
4.Organization
5.E-mail address
6.Phone number
7.Periodically, we take photos or videos to share with funders, social media, in reports or press releases. Your permission to do so is requested, but not required to participate in the training.    I grant permission to Prevent Blindness to use photographs and/or video of me taken at this training in publications, news releases, online, and in other communications.
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