Registration Form

Event Timing: Friday, 21st January 2022, 9am-7pm
Event Address: EMBL Heidelberg, Meyerhofstr. 1, 69117 Heidelberg, Germany
Contact us: +496221 387 8271, cryo-em-symposium@embl.de

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* 1. First Name

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* 2. Last Name

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* 3. Home Institution Country

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* 4. Affiliation

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* 5. Email Address

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* 6. Would you like to present a poster?

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* 7. How did you hear about the Symposium?

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* 8. Do you have specific food requirements?

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* 9. Regulations related to the Covid-19 pandemic:
We aim to organize the Symposium as a physical, on-site event.
All participants must comply with the "2G rule" (being fully immunized). We will require a certificate either of proof of vaccination or recent recovery from the infection. In addition, all participants are highly encouraged to make an antigen self-test before coming to the campus.
As per the government of Baden-Württemberg regulations, please respect all hygiene measures and precautions like wearing a face mask in all circulation areas and observing the distance rule of 1.5m.
By checking the box, you confirm that you agree with the above described regulations.

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* 10. The registration system requires limited processing of your personal data in order to function. If you do not wish to submit your personal data using the Survey Monkey platform, you can register by sending us all above requested information by email to cryo-em-symposium@embl.de, subject 'Registration'. By registering, you are agreeing that we collect and process your above entered personal data (name, email, affiliation) as outlined in our Privacy Notice.

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* 11. During the Symposium, there might be photos taken by the EMBL Photographer. If you do not want to appear on the photos, please inform us by 1st January 2022 by sending email to cryo-em-symposium@embl.de, subject 'Photos'. We will then inform the photographer in advance.

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