(October, November and December 2011)
First name (required field)
Last name (required field)
Preferred name/nickname Title Department
Most frequently checked email address (required field) Campus: IPFW Ivy Tech Other (please specify) Campus telephone Campus address: (building and room number) Home telephone number
To register for mulitple events, please submit the form as usual for the first one and use your browser's back button to come back to this page. Your name and contact information should remain on the page. Simply change your event preference and submit the form again for each additional event you wish to attend.
Please select one of the following options: (required field)