Fields in bold/red are required.
Participant First Name:
Participant Last Name:
Title/Position
School/Organization Name
District Name
Work Address
Work Location (City, State)
Discipline	Elementary    Earth Science    Life Science    Physical Science    Biology    Chemistry    Physics    Environmental Science
Grade Range(s) You Work With:	Pre    K-4    5-6    7-8    9-12    13+    NA
Preferred Email
MnCOSE Exhibitors help reduce the cost of the event for attendees, and they may receive attendees emails as a part of the event.	I understand that my email address will be shared with conference exhibitors  I would not like my contact information shared with exhibitors
Do you consent to receive email communications from us?	Y  N
Are there any special circumstances we should know about (ie food allergies, gluten free, vegetarian or mobility needs, lactation room, ASL interpreter, etc)
You may provide a brief bio here to appear in our virtual conference system (3-5 sentences):
We have established MnCOSE Norms for this event.	By checking this box, I have read and agree to abide by the MnCOSE norms.  Yes
We are holding an informal social gathering Thursday evening near the University. At this moment do you expect you'll be able to join us?	Yes for sure  Likely  Maybe  Nope

You'll have an opportunity to upload your photo into our conference system once we connect you!