REGISTRATION FORM
Plant Agriculture Departmental Conference & Retreat
June 17 & 18, 2019 Collingwood, ON
$150 Double - Early Bird Registration - By: May 6/19
$215 Single - Early Bird Registration - By May 6/19
$1
80 Double - Late Registration: May 7/19
-
May 16/19
$245 Single - Late Registration: May 7/19 - May 16/19
Last Name:
First Name:
Bldg/Location (ie. Crop Sci, Bovey, Vineland, Simcoe, Muck, RC):
Tel/Ext#:
Email:
Trust/Project # to charge registration fee: Supervisor Signature (approval to charge account noted):
Section A
Are you able to join us for the entire retreat (Check One)? Yes No
If Yes, skip to Section B.
If you are unable to attend the entire conference please indicate which you will attend/require below: (NOTE: You will need
to arrange your own transportation.) (NOTE: Only costs below will be charged rather than the full rate.)
Date Activity
Yes
Mon. June 17
Lunch & breaks ($20)
Dinner ($25)
Overnight Accommodations Required
Tue. June 18
Breakfast & break ($15)
Lunch ($10)
Section B
Please indicate if you have dietary specifications:___________________________________________________
The registration fee quoted includes accommodation, meals, transportation (from/to Guelph), activities, gratuities and taxes.
Requested roommate: _____________________________________ (otherwise rooms will be assigned by organizers).
If you would prefer a single occupancy room check here:
Charge for a single room is $65 extra. Single rooms are limited, so please get your form in early. Supervisor approval
must be obtained prior to requesting a single room and the extra cost will be added to your coding provided above. If a single
room is due to bringing a family member/spouse, the extra cost of $65 must be paid by the registrant.
Pay single room via coding provided above
I want a single room and will pay the $65 difference myself.
If
you wish to bring a family member, please email paretrea@uoguelph or contact Gisele at ext. 56086 to discuss costs.
Will you be
travelling
by
the
bus
provided
(check
one):
Yes
or
No
If yes – indicate pick-up location (check one): Crop Science Bldg. or Bovey Bldg.
(If No, you are responsible for arranging for your own transportation to/from the conference.)
Please return this registration electronically to
paretrea@uoguelph.ca or in person/mail to Gisele Angel, Room 306,
Crop Science Building NO LATER THAN 4:00 PM, May 16, 2019
(i.e. vegetarian, halal, gluten-free)
Faculty
Staff
Student
Transportation
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