Event Registration

Fill out the form below and click on the [ Submit Registration ] button to proceed. All fields marked with an asterisk (*) are required and must be completed. If you need assistance, contact the workshop coordinator.

Categorize Yourself

Registration Type

Are you a U.S. Citizen?

Citizenship

Personal Information

Full Name

Affiliation/Institution

Name of Department

Job Title

Telephone Number

Email Address

Confirm Email Address

Office Address

Any Dietary Restrictions?

Any Special or Accessibility Requirements?

Using Brookhaven Lab Onsite Dorms?

Arrival & Departure Dates

These dates will be used to note when you will expect to arrive and depart from this event. Click in each date field and use the default dates shown below or make any necessary adjustments .

Arrival Date: January 19, 2027
Departure Date: January 22, 2027

Arrival Date

Departure Date

Banquet Dinner

All payments must be made in U.S. dollars. Please discuss any reimbursement details with your administrator.

Attending the banquet dinner. ($60.00)

Desmond’s at East Wind, 5720 NY-25A, Wading River, NY 11792
Thursday, January 21, 2027, 6:30 p.m.–9:00 p.m.

Total Online Cost

$0.00

Additional Information

Comments or Concerns?

Brookhaven National Laboratory conducts research in the physical, biomedical, and environmental sciences, as well as in energy technologies and national security. Brookhaven Lab also builds and operates major scientific facilities available to university, industry and government researchers. Brookhaven is operated and managed for the U.S Department of Energy's Office of Science by Brookhaven Science Associates.

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