{"id":84,"date":"2013-02-06T15:13:57","date_gmt":"2013-02-06T20:13:57","guid":{"rendered":"https:\/\/sites.bu.edu\/neuro-ed\/?page_id=84"},"modified":"2017-07-28T18:10:27","modified_gmt":"2017-07-28T22:10:27","slug":"registration","status":"publish","type":"page","link":"https:\/\/sites.bu.edu\/neuro-ed\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<p>Registration has ended<\/p>\n<p><!--form action=\"http:\/\/www.bu.edu\/phpbin\/telegraph\/index.php\" class=\"conference-forms\" id=\"conference-forms\">\n  <input type=\"hidden\" name=\"form_configuration\" value=\"afs\/.bu.edu\/cwis\/web\/vhosts\/static\/sites.bu.edu\/neuro-ed\/wp-assets\/telegraph\/config.xml\" \/>\n  <span class=\"required\">*<\/span> - Indicates a required field.\n  \n\n<fieldset>\n    \n\n<legend>Registrant<\/legend>\n\n\n    \n\n<div>\n      <label for=\"first_name\" class=\"text\">First Name <em class=\"required\">*<\/em><\/label>\n      <input name=\"first_name\" class=\"input-text\" id=\"first_name\" type=\"text\" \/>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"last_name\" class=\"text\"> Last Name <em class=\"required\">*<\/em><\/label>\n      <input name=\"last_name\" class=\"input-text\" id=\"last_name\" type=\"text\" \/>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"address\" class=\"text\"> Address <em class=\"required\">*<\/em><\/label>\n      <input class=\"input-text\" name=\"address\" id=\"address\" type=\"text\" \/>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"city\" class=\"text\"> City <em class=\"required\">*<\/em><\/label>\n      <input class=\"input-text\" name=\"city\" id=\"city\" type=\"text\" \/>\n    <\/div>\n\n\n    \n\n<div>\n<label for=\"state\" class=\"text\"> State<em class=\"required\">*<\/em><\/label>\n      <select name=\"state\" id=\"state\"> \n<option value=\"\" selected=\"selected\">Please select<\/option>\n<option value=\"AL\">Alabama<\/option>\n<option value=\"AK\">Alaska<\/option>\n<option value=\"AS\">American Samoa<\/option>\n<option value=\"AZ\">Arizona<\/option>\n<option value=\"AR\">Arkansas<\/option>\n<option value=\"CA\">California<\/option>\n<option value=\"CO\">Colorado<\/option>\n<option value=\"CT\">Connecticut<\/option>\n<option value=\"DE\">Delaware<\/option>\n<option value=\"DC\">District of Columbia<\/option>\n<option value=\"FM\">Federated States of Micronesia<\/option>\n<option value=\"FL\">Florida<\/option>\n<option value=\"GA\">Georgia<\/option>\n<option value=\"GU\">Guam<\/option>\n<option value=\"HI\">Hawaii<\/option>\n<option value=\"ID\">Idaho<\/option>\n<option value=\"IL\">Illinois<\/option>\n<option value=\"IN\">Indiana<\/option>\n<option value=\"IA\">Iowa<\/option>\n<option value=\"KS\">Kansas<\/option>\n<option value=\"KY\">Kentucky<\/option>\n<option value=\"LA\">Louisiana<\/option>\n<option value=\"ME\">Maine<\/option>\n<option value=\"MH\">Marshall Islands<\/option>\n<option value=\"MD\">Maryland<\/option>\n<option value=\"MA\">Massachusetts<\/option>\n<option value=\"MI\">Michigan<\/option>\n<option value=\"MN\">Minnesota<\/option>\n<option value=\"MS\">Mississippi<\/option>\n<option value=\"MO\">Missouri<\/option>\n<option value=\"MT\">Montana<\/option>\n<option value=\"NE\">Nebraska<\/option>\n<option value=\"NV\">Nevada<\/option>\n<option value=\"NH\">New Hampshire<\/option>\n<option value=\"NJ\">New Jersey<\/option>\n<option value=\"NM\">New Mexico<\/option>\n<option value=\"NY\">New York<\/option>\n<option value=\"NC\">North Carolina<\/option>\n<option value=\"ND\">North Dakota<\/option>\n<option value=\"MP\">Northern Mariana Islands<\/option>\n<option value=\"OH\">Ohio<\/option>\n<option value=\"OK\">Oklahoma<\/option>\n<option value=\"OR\">Oregon<\/option>\n<option value=\"PW\">Palau<\/option>\n<option value=\"PA\">Pennsylvania<\/option>\n<option value=\"PR\">Puerto Rico<\/option>\n<option value=\"RI\">Rhode Island<\/option>\n<option value=\"SC\">South Carolina<\/option>\n<option value=\"SD\">South Dakota<\/option>\n<option value=\"TN\">Tennessee<\/option>\n<option value=\"TX\">Texas<\/option>\n<option value=\"UT\">Utah<\/option>\n<option value=\"VT\">Vermont<\/option>\n<option value=\"VI\">Virgin Islands<\/option>\n<option value=\"VA\">Virginia<\/option>\n<option value=\"WA\">Washington<\/option>\n<option value=\"WV\">West Virginia<\/option>\n<option value=\"WI\">Wisconsin<\/option>\n<option value=\"WY\">Wyoming<\/option>\n<option value=\"AE\">Armed Forces Africa<\/option>\n<option value=\"AA\">Armed Forces Amercas<\/option>\n<option value=\"AE\">Armed Forces Canada<\/option>\n<option value=\"AE\">Armed Forces Europe<\/option>\n<option value=\"AE\">Armed Forces Middle East<\/option>\n<option value=\"AP\">Armed Forces Pacific<\/option>\n       <\/select>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"zip\" class=\"text\"> Zip <em class=\"required\">*<\/em><\/label>\n      <input class=\"input-text\" name=\"zip\" id=\"zip\" size=\"10\" type=\"text\" \/>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"country\" class=\"text\"> Country <em class=\"required\">*<\/em><\/label>\n      <select name=\"country\" id=\"country\"> \n<option value=\"United States\" selected=\"selected\">United States<\/option>\n<option value=\"Afghanistan \">Afghanistan <\/option>\n<option value=\"Albania \">Albania <\/option>\n<option value=\"Algeria \">Algeria <\/option>\n<option value=\"Andorra \">Andorra <\/option>\n<option value=\"Angola \">Angola <\/option>\n<option value=\"Anguilla \">Anguilla <\/option>\n<option value=\"Antigua \">Antigua <\/option>\n<option value=\"Argentina \">Argentina <\/option>\n<option value=\"Armenia \">Armenia <\/option>\n<option value=\"Aruba \">Aruba <\/option>\n<option value=\"Australia \">Australia <\/option>\n<option value=\"Austria \">Austria <\/option>\n<option value=\"Azerbaijan \">Azerbaijan <\/option>\n<option value=\"Bahamas \">Bahamas <\/option>\n<option value=\"Bahrain \">Bahrain <\/option>\n<option value=\"Bangladesh \">Bangladesh <\/option>\n<option value=\"Barbados \">Barbados <\/option>\n<option value=\"Belgium \">Belgium <\/option>\n<option value=\"Belize \">Belize <\/option>\n<option value=\"Benin \">Benin <\/option>\n<option value=\"Bermuda \">Bermuda <\/option>\n<option value=\"Bhutan \">Bhutan <\/option>\n<option value=\"Bolivia \">Bolivia <\/option>\n<option value=\"Bosnia &amp; Hercegovina \">Bosnia &amp; Hercegovina <\/option>\n<option value=\"Botswana \">Botswana <\/option>\n<option value=\"Brazil \">Brazil <\/option>\n<option value=\"British Virgin Islands \">British Virgin Islands <\/option>\n<option value=\"Brunei \">Brunei <\/option>\n<option value=\"Bulgaria \">Bulgaria <\/option>\n<option value=\"Burkina Faso \">Burkina Faso <\/option>\n<option value=\"Burundi \">Burundi <\/option>\n<option value=\"Byelarus \">Byelarus <\/option>\n<option value=\"Cambodia \">Cambodia <\/option>\n<option value=\"Cameroon \">Cameroon <\/option>\n<option value=\"Canada \">Canada <\/option>\n<option value=\"Canal Zone \">Canal Zone <\/option>\n<option value=\"Cape Verde Islands \">Cape Verde Islands <\/option>\n<option value=\"Cayman Islands \">Cayman Islands <\/option>\n<option value=\"Central African Empire \">Central African Empire <\/option>\n<option value=\"Chad \">Chad <\/option>\n<option value=\"Chile \">Chile <\/option>\n<option value=\"China \">China <\/option>\n<option value=\"Colombia \">Colombia <\/option>\n<option value=\"Comoro Islands \">Comoro Islands <\/option>\n<option value=\"Congo \">Congo <\/option>\n<option value=\"Costa Rica \">Costa Rica <\/option>\n<option value=\"Croatia \">Croatia <\/option>\n<option value=\"Cuba \">Cuba <\/option>\n<option value=\"Cyprus \">Cyprus <\/option>\n<option value=\"Czech Republic \">Czech Republic <\/option>\n<option value=\"Czechoslovakia \">Czechoslovakia <\/option>\n<option value=\"Denmark \">Denmark <\/option>\n<option value=\"Djibouti \">Djibouti <\/option>\n<option value=\"Dominica \">Dominica <\/option>\n<option value=\"Dominican Republic \">Dominican Republic <\/option>\n<option value=\"Ecuador \">Ecuador <\/option>\n<option value=\"Egypt \">Egypt <\/option>\n<option value=\"El Salvador \">El Salvador <\/option>\n<option value=\"Equatorial Guinea \">Equatorial Guinea <\/option>\n<option value=\"Eritrea \">Eritrea <\/option>\n<option value=\"Estonia \">Estonia <\/option>\n<option value=\"Ethiopia \">Ethiopia <\/option>\n<option value=\"Federal Republic of Germany \">Federal Republic of Germany <\/option>\n<option value=\"Fiji \">Fiji <\/option>\n<option value=\"Finland \">Finland <\/option>\n<option value=\"France \">France <\/option>\n<option value=\"French Guiana \">French Guiana <\/option>\n<option value=\"French Polynesia \">French Polynesia <\/option>\n<option value=\"French West Indies \">French West Indies <\/option>\n<option value=\"Friendly Islands Tonga \">Friendly Islands Tonga <\/option>\n<option value=\"Gabon \">Gabon <\/option>\n<option value=\"Gambia \">Gambia <\/option>\n<option value=\"Gaza \">Gaza <\/option>\n<option value=\"Georgia \">Georgia <\/option>\n<option value=\"Germany \">Germany <\/option>\n<option value=\"Ghana \">Ghana <\/option>\n<option value=\"Greece \">Greece <\/option>\n<option value=\"Grenada \">Grenada <\/option>\n<option value=\"Guadeloupe \">Guadeloupe <\/option>\n<option value=\"Guatemala \">Guatemala <\/option>\n<option value=\"Guinea \">Guinea <\/option>\n<option value=\"Guinea-Bissau \">Guinea-Bissau <\/option>\n<option value=\"Guyana \">Guyana <\/option>\n<option value=\"Haiti \">Haiti <\/option>\n<option value=\"Honduras \">Honduras <\/option>\n<option value=\"Hong Kong \">Hong Kong <\/option>\n<option value=\"Hungary \">Hungary <\/option>\n<option value=\"Iceland \">Iceland <\/option>\n<option value=\"India \">India <\/option>\n<option value=\"Indonesia \">Indonesia <\/option>\n<option value=\"Iran \">Iran <\/option>\n<option value=\"Iraq \">Iraq <\/option>\n<option value=\"Ireland \">Ireland <\/option>\n<option value=\"Israel \">Israel <\/option>\n<option value=\"Italy \">Italy <\/option>\n<option value=\"Ivory Coast \">Ivory Coast <\/option>\n<option value=\"Jamaica \">Jamaica <\/option>\n<option value=\"Japan \">Japan <\/option>\n<option value=\"Jordan \">Jordan <\/option>\n<option value=\"Kazakhstan \">Kazakhstan <\/option>\n<option value=\"Kenya \">Kenya <\/option>\n<option value=\"Kiribati \">Kiribati <\/option>\n<option value=\"Korea \">Korea <\/option>\n<option value=\"Kuwait \">Kuwait <\/option>\n<option value=\"Kyrgyzstan \">Kyrgyzstan <\/option>\n<option value=\"Laos \">Laos <\/option>\n<option value=\"Latvia \">Latvia <\/option>\n<option value=\"Lebanon \">Lebanon <\/option>\n<option value=\"Lesotho \">Lesotho <\/option>\n<option value=\"Liberia \">Liberia <\/option>\n<option value=\"Libya \">Libya <\/option>\n<option value=\"Liechtenstein \">Liechtenstein <\/option>\n<option value=\"Lithuania \">Lithuania <\/option>\n<option value=\"Luxembourg \">Luxembourg <\/option>\n<option value=\"Macao \">Macao <\/option>\n<option value=\"Macedonia \">Macedonia <\/option>\n<option value=\"Madagascar \">Madagascar <\/option>\n<option value=\"Malagasy Republic \">Malagasy Republic <\/option>\n<option value=\"Malawi \">Malawi <\/option>\n<option value=\"Malaysia \">Malaysia <\/option>\n<option value=\"Maldives \">Maldives <\/option>\n<option value=\"Mali \">Mali <\/option>\n<option value=\"Malta \">Malta <\/option>\n<option value=\"Martinique \">Martinique <\/option>\n<option value=\"Mauritania \">Mauritania <\/option>\n<option value=\"Mauritius \">Mauritius <\/option>\n<option value=\"Mexico \">Mexico <\/option>\n<option value=\"Moldova \">Moldova <\/option>\n<option value=\"Monaco \">Monaco <\/option>\n<option value=\"Mongolian People's Republic \">Mongolian People\u2019s Republic <\/option>\n<option value=\"Montenegro \">Montenegro <\/option>\n<option value=\"Montserrat \">Montserrat <\/option>\n<option value=\"Morocco \">Morocco <\/option>\n<option value=\"Mozambique \">Mozambique <\/option>\n<option value=\"Myanmar \">Myanmar <\/option>\n<option value=\"Namibia \">Namibia <\/option>\n<option value=\"Nepal \">Nepal <\/option>\n<option value=\"Netherlands \">Netherlands <\/option>\n<option value=\"Netherlands Antilles \">Netherlands Antilles <\/option>\n<option value=\"New Zealand \">New Zealand <\/option>\n<option value=\"Nicaragua \">Nicaragua <\/option>\n<option value=\"Niger \">Niger <\/option>\n<option value=\"Nigeria \">Nigeria <\/option>\n<option value=\"Norway \">Norway <\/option>\n<option value=\"Oman \">Oman <\/option>\n<option value=\"Pakistan \">Pakistan <\/option>\n<option value=\"Panama \">Panama <\/option>\n<option value=\"Papua New Guinea \">Papua New Guinea <\/option>\n<option value=\"Paraguay \">Paraguay <\/option>\n<option value=\"People's Republic of Benin \">People\u2019s Republic of Benin <\/option>\n<option value=\"People's Republic of China \">People\u2019s Republic of China <\/option>\n<option value=\"People's Republic of the Congo \">People\u2019s Republic of the Congo <\/option>\n<option value=\"Peru \">Peru <\/option>\n<option value=\"Philippines \">Philippines <\/option>\n<option value=\"Poland \">Poland <\/option>\n<option value=\"Portugal \">Portugal <\/option>\n<option value=\"Qatar \">Qatar <\/option>\n<option value=\"Republic of Djibouti \">Republic of Djibouti <\/option>\n<option value=\"Republic of Georgia \">Republic of Georgia <\/option>\n<option value=\"Republic of Korea \">Republic of Korea <\/option>\n<option value=\"Republic of Singapore \">Republic of Singapore <\/option>\n<option value=\"Romania \">Romania <\/option>\n<option value=\"Russia \">Russia <\/option>\n<option value=\"Rwanda \">Rwanda <\/option>\n<option value=\"Saint Lucia \">Saint Lucia <\/option>\n<option value=\"San Marino \">San Marino <\/option>\n<option value=\"Sao Tome and Principe \">Sao Tome and Principe <\/option>\n<option value=\"Saudi Arabia \">Saudi Arabia <\/option>\n<option value=\"Senegal \">Senegal <\/option>\n<option value=\"Serbia \">Serbia <\/option>\n<option value=\"Seychelles \">Seychelles <\/option>\n<option value=\"Sierra Leone \">Sierra Leone <\/option>\n<option value=\"Singapore \">Singapore <\/option>\n<option value=\"Slovakia \">Slovakia <\/option>\n<option value=\"Slovenia \">Slovenia <\/option>\n<option value=\"Solomon Islands \">Solomon Islands <\/option>\n<option value=\"Somalia \">Somalia <\/option>\n<option value=\"South Africa \">South Africa <\/option>\n<option value=\"Spain \">Spain <\/option>\n<option value=\"Spanish Sahara \">Spanish Sahara <\/option>\n<option value=\"Sri Lanka \">Sri Lanka <\/option>\n<option value=\"St. Kitts - Nevis \">St. Kitts \u2013 Nevis <\/option>\n<option value=\"St. Vincent\/the Grenadines \">St. Vincent\/the Grenadines <\/option>\n<option value=\"Sudan \">Sudan <\/option>\n<option value=\"Surinam \">Surinam <\/option>\n<option value=\"Swaziland \">Swaziland <\/option>\n<option value=\"Sweden \">Sweden <\/option>\n<option value=\"Switzerland \">Switzerland <\/option>\n<option value=\"Syria \">Syria <\/option>\n<option value=\"Taiwan, R.O.C. \">Taiwan, R.O.C. <\/option>\n<option value=\"Tajikistan \">Tajikistan <\/option>\n<option value=\"Tanzania \">Tanzania <\/option>\n<option value=\"Thailand \">Thailand <\/option>\n<option value=\"Togo \">Togo <\/option>\n<option value=\"Tonga \">Tonga <\/option>\n<option value=\"Trinidad and Tobago, W. Indies \">Trinidad and Tobago, W. Indies <\/option>\n<option value=\"Tunisia \">Tunisia <\/option>\n<option value=\"Turkey \">Turkey <\/option>\n<option value=\"Turkmenistan \">Turkmenistan <\/option>\n<option value=\"Turks and Caicos \">Turks and Caicos <\/option>\n<option value=\"Uganda \">Uganda <\/option>\n<option value=\"Ukraine \">Ukraine <\/option>\n<option value=\"United Arab Emirates \">United Arab Emirates <\/option>\n<option value=\"United Kingdom \">United Kingdom <\/option>\n<option value=\"Uruguay \">Uruguay <\/option>\n<option value=\"Uzbekistan \">Uzbekistan <\/option>\n<option value=\"Venezuela \">Venezuela <\/option>\n<option value=\"Vietnam \">Vietnam <\/option>\n<option value=\"West Bank \">West Bank <\/option>\n<option value=\"Western Samoa \">Western Samoa <\/option>\n<option value=\"Yemen \">Yemen <\/option>\n<option value=\"Yugoslavia \">Yugoslavia <\/option>\n<option value=\"Zaire \">Zaire <\/option>\n<option value=\"Zambia \">Zambia <\/option>\n<option value=\"Zimbabwe \">Zimbabwe <\/option>\n       <\/select>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"phone\" class=\"text\">Phone <em class=\"required\">*<\/em><\/label>\n      <input class=\"input-text\" name=\"phone\" id=\"phone\" type=\"text\" \/>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"email\" class=\"text\">Email Address<em class=\"required\">*<\/em><\/label>\n      <input name=\"email\" class=\"input-text\" id=\"email\" type=\"text\" \/>\n    <\/div>\n\n\n    \n\n<div>\n      <label for=\"occupation\" class=\"text\">Occupation<em class=\"required\">*<\/em><\/label>\n      <input name=\"occupation\" class=\"input-text\" id=\"occupation\" type=\"text\" \/>\n    <\/div>\n\n\n  <\/fieldset>\n\n\n  \n\n<fieldset>\n    \n\n<legend>Registration:<em class=\"required\">*<\/em><\/legend>\n\n\n    \n\n<div>\n      <input name=\"registration\" value=\"Early Registration - $25 for professional development credit\" id=\"early_25\" type=\"radio\" \/><label class=\"radio-label\">Early Registration (Before 3\/31\/14) - $25 for professional development credit<\/label>\n   <\/div>\n\n\n\n\n\n<div><input name=\"registration\" value=\"Registration - $45 for professional development credit\" id=\"reg_45\" type=\"radio\" \/> <label class=\"radio-label\">Registration (April 1 - April 22, 2014) - $45 for professional development credit<\/label>\n  <\/div>\n\n\n\n\n\n<div><input name=\"registration\" value=\"General Admission - free\" id=\"reg_0\" type=\"radio\" \/> <label class=\"radio-label\">General Admission - free<\/label>\n  <\/div>\n\n<\/fieldset>\n\n\n    \n\n<div>\n      <input id=\"submit\" name=\"submit\" value=\"Submit\" type=\"submit\" \/>\n      <input id=\"reset\" name=\"reset\" value=\"Reset\" type=\"reset\" \/>\n    <\/div>\n\n\n<\/form>\n\n\n\n\n\n\n\n<h2>Refund Policy<\/h2>\n\n\n\n<p>Refunds will be provided on request. Deadline for requests: 4\/22\/2014. Requests should be made to Neuroscience for Educators c\/o Ms. Patty Jones, 650 Albany Street, Suite X-140, Boston, MA 02118 - Telephone: 617-414-2315<\/p-->\n","protected":false},"excerpt":{"rendered":"<p>Registration has ended<\/p>\n","protected":false},"author":1251,"featured_media":0,"parent":0,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/pages\/84"}],"collection":[{"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/users\/1251"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/comments?post=84"}],"version-history":[{"count":50,"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/pages\/84\/revisions"}],"predecessor-version":[{"id":120,"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/pages\/84\/revisions\/120"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/neuro-ed\/wp-json\/wp\/v2\/media?parent=84"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}