Sanford PROMISE Community Lecture Series - March 2020 Thank you for your interest in the Sanford PROMISE Community Lecture Series. Date: Tuesday, March 30th Time: 5:30pm-6:30pm Title: Modeling cancer in three dimensions - from bench to bedside Presenter: Pilar de la Puente, PhD Link to virtual platform will be emailed out prior to the date. OK Question Title * 1. Participant Information: First and Last Name Email Address OK Question Title * 2. If you are a student, please complete the following: Grade School OK Question Title * 3. Please list any questions you have in regards to this topic. OK Question Title * 4. How did you find out about the PROMISE Community Lecture Series? OK Question Title * 5. Would you like your email address added to our list of email notifications and reminders about our programming? Yes No OK Question Title * 6. This program will be conducted virtually and will be recorded and made available for the general public to view at a later date. As a virtual participant in the program, your audio and video may be included in the recording of this program. By registering for and participating in the program, you agree to allow your audio and video participation to be used for publication, telecast, advertising, education and/or publicity purposes by Sanford. I acknowledge that I have read, understood and agree to the above statement: Yes No OK Question Title * 7. If under the age of 18, I have received approval from my parent/guardian to register for this event and they have agreed to allow my audio and video participation to be used for publication, telecast, advertising, education and/or publicity purposes by Sanford. Yes No N/A OK DONE