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International Center for Law and Religion Studies
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ICLRS Law and Religion Pedagogy Workshop, Christ Church, University of Oxford, 17–18 July 2024 | Registration Form
Contact Information
Professional Title and/or Honorific (If applicable)
Given Names
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Surname or Family Name
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Full Name (As you would like it to appear in the program and on your nametag)
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Alternate Email
Preferred Phone (include country and area code)
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Alternate Phone (include country and area code)
WhatsApp Number (include country and area code)
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Academic Position or Job Title
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Affiliation/Institution/Organization Name
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Address Line 1
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City
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Country
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Travel Information
PLEASE NOTE: If you live LOCALLY, simply enter "N/A" in the required fields below.
Birthdate (For airline reservation)
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DD slash MM slash YYYY
Full Name on Passport
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Passport Number
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Passport Issue Date
(Required)
DD slash MM slash YYYY
Passport Expiration Date
(Required)
DD slash MM slash YYYY
Passport Place of Issuance
Passport Issuer
I have sent a copy of the personal photo page of my passport to Tonya Gage at
[email protected]
(Required)
Yes
No
Departure City (and Airport)
(Required)
Return City (and Airport)
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Arrival Date
(Required)
DD slash MM slash YYYY
(Note: ICLRS cannot pay for or arrange accommodations prior to July 13) (day-month-year)
Departure Date
DD slash MM slash YYYY
(Note: ICLRS cannot pay for or arrange accommodations after August 4, 10:00 a.m. GMT) (Required: day-month-year)
Preferred Seating
Aisle
Window
Frequent Flyer Number (if available)
Do you need assistance to process visa?
(Required)
Yes
No
Please specify visa assistance needed
Additional Information
Primary Language
Dietary Restrictions
Other Special Needs
Accompanied by spouse/guest?
Yes
No
Please Note: Guest travel and accommodation costs are paid by the guest and not by the conference organizers.
Spouse/Guest's Given Name(s) (if attending)
Spouse/Guest's Surname or Family Name (if attending)
I have emailed (or will email) a scanned copy of the picture page of my passport.
Yes
No
I have emailed (or will email) a high-resolution headshot of myself.
Yes
No
I am willing to receive further communications from the organizers (e.g., program information, flight arrangements, etc.)
(Required)
Yes
No
Please write a brief biography in paragraph form (limit to 150 - 200 words)(Can cut and paste from another document)
Click here to view terms and conditions
Consent
(Required)
I agree to the above terms and conditions relating to the event.