ASCLS Student Registration

If registering as a member, you must provide your ASCLS member ID number. If you are not an ASCLS member, type "GUEST" * Maximum of 20 characters

Are you willing to serve as a session moderator? Select all that apply Yes No Thank you

Please type how you would like your name to appear * Maximum of 100 characters

Please indicate if you would like to request a dietary accomodation Select all that apply I do not have any dietary accommodation requests Vegetarian Vegan Food Allergy (please email specific allergy to secretary directly)

ASCLS Student Registration

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