Food Preferences BioXPhi Summit

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* 1. Do you have any food allergies?

Yes

No

Other (please specify)

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* 2. If you answered "YES" to the previous question, what are you allergic to?

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* 3. Preferences for meals:

Vegetarian

Vegan

Gluten Free

No restrictions

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* 4. What are you preferences for beverages?

Tea

Coffee

Decaf Coffee

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* 5. What are your preferences for coffee?

Milk

Creamer

Dairy-free substitute (almond milk, coconut milk, etc.)

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* 6. Do you plan to attend the pre-conference welcome Dinner? (Thursday October 3rd at 7pm).

Yes

No

Other (please specify)

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* 7. Do you have any condition or medical need that might require handicap access?

N/A

Yes (please elaborate below)

If YES please specify what services you will require