Your Name* Given Name (First Name) Family Name (Last Name) Your Email Address* Enter Email Confirm Email Mobile Phone Number(optional)Mobile Text Messaging Preference SMS or iMessage WhatsApp Do not contact me via text message Name Badge – Name*Please enter your full name as you would like it to appear on your name badgeName Badge – PronounsWe invite you to have your preferred pronouns listed on your name badge (optional) they/them she/her he/him Name Badge – University or Professional AffilliationWe invite you to display your university or professional affiliation on your name badge (optional)VolunteeringWould you like more information on being a volunteer during SRI? The community of volunteers is a valuable resource for the smooth running of the Summer Research Institute. Room set-up, session bell ringers, poster room guides, and closing reception food prep are some of the opportunities. More information as well as a sign-up sheet will be sent to those interested. Yes, please contact me regarding volunteer opportunities during SRI AccessibilityIf you have a disability and require accommodation in order to fully participate in this event, please check here. You will be contacted by Mind & Life staff to discuss your specific needs. Please note that the four story Garrison Institute building does not have elevator access to higher or lower levels. Only one ADA compliant accommodation is available at Garrison. This room is located on the main floor. Feel free to contact ellen@mindandlife.org with any questions or concerns. I require accessibility accommodation Allergies and Medical ConditionsDo you have any food allergies, medical allergies, or conditions that would be critical to know in an emergency? All information is kept confidential except as needed in an emergency, except for food allergies that will be shared with providers. NOTE: All meals are served buffet-style in the dining hall and are vegetarian, with the exception of one meal that will include a fish option. Most special dietary needs should be met from what is offered. If you need to bring your own food, there is a refrigerator and storage space available in the service kitchen. COVID-19 Policy Compliance*I have read the Garrison Institute’s COVID-19 policy and agree to provide the Garrison Institute with the documentation that they require for attendance. I understand and agree Consent to Video Recording and Photography*In order to create a historical record of this event, some of the proceedings will be photographed and filmed. By registering, you grant Mind & Life permission to use your image. If you have any specific concerns related to the use of your image, please contact ekellner@mindandlife.org prior to registering. I understand and agree Privacy Policy*Mind & Life’s use of any information submitted during this registration process is governed by the terms outlined in the Mind & Life Privacy Policy. I understand and agree Waiver of Liability*This event involves various activities including movement opportunities, group transportation, public gatherings, and meals during a time that COVID-19 may be a factor. Mind & Life considers the safety of all those onsite as our top priority. We are committed to our Duty of Care, enhancing the onsite experience and safety for everyone in attendance. That said, Mind & Life shall not be liable to the registrant(s) for any damage to material goods, persons, or property. By attending this event, you and agree to abide by and engage in certain health-and-safety-beneficial conduct while attending the event. NOTE: There are no locks on the bedroom doors at the Garrison Institute, so plan accordingly if you intend to bring valuable items with you. I understand and agree Private Online Platform AccessMind & Life provides access to an online platform for SRI participants, where you can access archived recordings of event sessions, supplemental information and links, and online discussion forums with other participants. If you elect to participate in the online platform, an account will be created for you and you will be sent login information in the weeks leading up to the start of the event. Your name along with any photographs or additional biographical information you choose to share will be visible to other platform participants. Participation on the online platform is voluntary, but encouraged. I would like access to the SRI 2024 Online Platform Accommodations & RoomingAs a historic property, accommodations at Garrison are modest (twin/single beds) with no air-conditioning. Transom windows, located above the doors, can be opened, allowing for air flow as needed. See photos of rooms here Gender Inclusive Accommodations: The Garrison Institute was designed for communal living, as such, attendees should expect shared rooming (up to two individuals per room). Note that each floor has communal binary bathrooms that include individual private shower stalls. Mind & Life supports an inclusive environment and encourages attendees to choose bathrooms that are comfortable for them based on how they identify. In making rooming assignments, your gender identity/expression and comments provided by you in the Rooming Requests field will be taken into consideration.Please indicate your gender identity/expression:(This information is for internal use for rooming assignments only) Definitions: “Trans” – denoting or relating to a person whose sense of personal identity and gender does not correspond with their birth sex; “Cis” – referring or relating to people whose sense of personal identity and gender corresponds with their birth sex. Trans-Man Trans-Woman Cis-Man Cis-Woman Nonbinary Not listed above; please detail below, or contact ekellner@mindandlife.org Free-form gender identity/expression:Rooming RequestsPlease let us know of any rooming requests, including health concerns or conditions, which type of roommate pairing would make you most comfortable, accessibility issues, etc. Though we are unable to guarantee any specific requests, we will make every effort to accommodate. (This information is for internal use for rooming assignments only.) If you have questions or concerns regarding your stay at the Garrison Institute please contact ekellner@mindandlife.org.Additional InformationIs there anything further that you wish to share with us?This field is hidden when viewing the formReferralCancellation PolicyTo cancel your registration, please email programs@mindandlife.org. Registration cancellations received by Monday, May 6, 2024 will be refunded minus a 10% processing fee. After May 6, no refunds will be given.
