Sponsored by UC San Diego Institute for Public Health and the Scripps Institution of Oceanography

* 1. Space is limited and on a first-come, first-served basis.  Please check to indicate your understanding that a confirmation and additional event details will be emailed to the email address that you provide below.  Thank you.

* 2. Preferred title:

* 3. First Name:

* 4. Last Name:

* 5. Affiliation(s):  (UC San Diego (incl. School, Department, etc.), SIO, Agency and/or Group affiliations...)

* 6. Number Attending (You are welcomed to register for one more adult guest.  Additional guests must register.)

* 7. How did you hear about this event? (Check all that apply.)

* 8. Email address (Confirmation and updates will be sent to this address.)

* 9. Please re-enter Email address (Confirmation and updates will be sent to this address.)

* 10. Institute for Public Health (IPH) events occur roughly 10 times/year.  Pls. indicate whether you wish to receive emails regarding future events.   (Check all that apply.)  I wish to receive event announcements about:

* 11. Confirmations, driving and parking directions, and other information will be emailed November 30, 2017.  Additional registrations may be accepted after that date, space allowing.  If you have additional questions, feel free to enter them below, or contact iph@ucsd.edu.  Thank you for your interest.

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