Registration Form

McGowan Institute Scientific Retreat
March 6-7, 2006

Nemacolin Woodlands Resort
Farmington, PA

Name Last/First:
Department/Organization
Mailing Address
City
  State  Zip
Telephone
  Fax:
Email
I am:
Faculty Member / Staff Name of your student if attending:
Please have your fellow/resident/post-doc/student separately register at this site!
Fellow Name of your advisor:
Resident Name of your advisor:
Post Doctoral Name of your advisor:
Graduate Student Name of your advisor:
Guest  

Poster Session:

Please Note: This year’s focus will be our interaction with industry, our abilities and what their needs are within the area of regenerative medicine. There will be outside personnel viewing your work. No confidentiality agreements will be in place, please be sure to configure your information accordingly.

Each participating faculty/resident/fellow/post-doc/student is requested to have a poster. If more than one poster for the “group” is desired, we can accommodate.
I will participate in the Poster Session on the evening of March 6th    Yes:         No: 
Click here if you poster abstract is ready.

Title:
Poster Abstract:
(Include Author information here) ALL Abstracts MUST be submitted in the same format: Microsoft WORD Font: Times Roman Size: 12 Single Spacing


You are limited to 1500
characters here.
If you enter more than 1500
characters, you will be told
the total number of characters
you have so that you will be
able to shorten your abstract.

If your abstract needs to be submitted later (MUST BE RECEIVED before February 10th), access the abstract submission page from the main registration page.

Break out Sessions: Information on Breakout Sessions Will be Issued After You Register

Here is a list of the proposed sessions:

Hotel Reservations:

Please Note that this year’s retreat is two full days of activities and events. Meeting Registration will be Sunday evening between 6:00 PM and 8:00 PM or Monday morning between 7:00 AM and 9:00 AM.

Faculty and McGowan Institute Guest(s) participating in retreat Only
(For Fellows / Residents / Post-Doc / Graduate students and Staff reservations, see below)

You MUST make your hotel registration directly with Nemacolin Woodlands for the nights of March 5th and 6th. (Rooms will only be held until February 10th)

Call Nemacolin Resort (724) 329-8555
  (800) 422-2736

Accommodations for faculty and McGowan Institute guests are in the Lodge at Nemacolin Woodlands. When you call in your room reservation, identify your group as the McGowan Institute Retreat to get the group rate of $119.00 (plus tax) for both evenings. If for your convenience, you wish to stay at Nemacolin Woodlands on Saturday evening at your personal expense, the rate will be $265.00 (plus tax).

The McGowan Institute will reimburse you for your room registration expenses after your participation in the Retreat, but it is your responsibility to confirm your room reservation and guarantee it with your credit card. Saturday evening stay will be YOUR responsibility, if you elect to arrive early.

I have reserved my room at the Nemacolin Woodlands Resort for the evenings of March 5th and 6th, 2006: Yes No

Fellows/Residents/Post-Doc/Graduate Students and Staff

Accommodations for Fellows/ Residents/ Post-Doc, Graduate students and Staff are in the Townhouses at a rate of $49.67 per night per person (plus tax). You must guarantee your room with a credit card. You MUST make your hotel registration through Katy Wharton at The McGowan Institute by calling (412) 235-5112 or by e-mail at whartonkm@upmc.edu.

Please identify those who you prefer to share the townhouse with (each unit has 3 bedrooms) or you will be assigned to a townhouse.You MUST provide a credit card number to guarantee your reservation.

Note: please advise Katy Wharton if overnight accommodations are not needed.

The McGowan Institute will reimburse you for your room expenses after your participation in the Retreat.

REGISTRATION MUST BE SUBMITTED BY
February 10, 2006