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Registration

The registration fee for this event is $400.00 which includes continental breakfast, lunch and networking reception.

A valid state-issued Real ID compliant driver's license or passport (for foreign nationals) will be required at check-in.

The payment form will appear after submitting your information.

Fill Out Form (Step 1 of 4)

Fill in your details.

Your confirmation will be displayed at the end of the registration process.
Confirmation does not guarantee attendance because total capacity for this event is limited.
Any impacted attendees will be notified and fees refunded, as appropriate.

Please type your name as you would prefer it to be printed on all program documentation.

If completing registration on behalf of someone, please provide e-mail address for the specific attendee. The e-mail address will be used by the program support team for communications related to the meeting and follow-up.

Fields marked with * are required
Attendee Type:  *
Prefix (MR, MRS, DR, etc.):  *
First Name:  *
Middle Initial:  

If you do not have a middle initial, please leave
field blank.
Last Name:  *
Job/Position Title:  *
Affiliation/Organization/Business/Company:  *
Division/Department/etc.: *
Address:  *

Second line optional
City:  *
Country:  *
State/County/Province:  *
Zip (Postal Code):  *
Email Address:  *
Work Phone:  *

Numbers Only; No ( ) + or -
Mobile Phone:  *

Numbers Only; No ( ) + or -
Are you a U.S. Citizen? *
 Yes       No     
Are you a Foreign Government Official? *
 Yes       No     
Is this your first time attending a DARPA event? *
 Yes       No
Have you ever worked with DARPA in an official capacity such as a program, study, seedling, etc? *
 Yes       No
Would you like to request to present a poster during the Posters Session at the RSS Colloquium?  Yes       No  *
Please let us know if you have any ADA-related needs or other special requests. We will do our best to make this a successful event for you.

500 Character Limit

Registration Fee:   $400.00
Would you like to select venue parking? *  Yes       No
Do you have any dietary restrictions? *
 Yes       No
Please specify any dietary restrictions or food allergies.
500 Character Limit
Total: 0.00

  I acknowledge that I need to fill out DARPA Form 104 in order to attend the meeting.
Note: Cancellation cannot be processed after the registration closing date and time.

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