Registration Form for NEPPSR
New England Particle Physics Student Retreat
August 11-15, 2009, Craigville, MA (Cape Cod)

First Name:   Last Name:
Institution: 

E-Mail Address:
Phone Number (daytime):

Arrival:    Departure:

Will you need transportation to/from NEPPSR? Yes No
Can you provide transportation to/from NEPPSR? Yes No
Ride-sharing will be coordinated later. If you expect to travel to the retreat with your
institution you may answer No to the first question.

Will a spouse/partner/family-member accompany you? Yes No
The estimated cost for accompanying adult is $130/day or $422 per week for food/lodging. Children under 5 are free.
Older children are $52/day or $172/week. Please remark below if you are bringing several family members
and we will contact you.

Special dietary needs: 

Additional comments : 

Students, please also tell us:
Graduate School Start Year:
Name of faculty sponsor or advisor:
Area(s) of interest (collider, neutrino, astro, theory etc.):

Roommate matching preference: 
Most student rooms will be shared.

This form will generate an email sent to neppsr at physics.bu.edu. If you make a mistake or
some change is needed, just resubmit this page with a comment, a human will sort it out.