If you are interested in attending this event, please complete this registration form.
Please check and/or fill in all that apply. Thank you.

Note: You will receive an email confirmation to the email address provided. As a courtesy to others, please notify the event coordinator, Cha Mancini at cmmancini@pasadena.edu , to cancel if you are unable to attend, and let others on the waiting list participate.

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Contact Info

• * First Name
• * Last Name
• * Email
• * Phone

Mailing Address

• * Address
• * City
• * State
• * Zip

I'm with:

• * College, Company or Affiliation
• Department, Area or Status

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