Waiting List Form

Note that your form data might not be saved if you leave the page! Only if you press ‘Submit’ on the bottom of the page will your form be submitted. Therefore, especially if you apply for a stipend, please save your form data in a text file as well before submitting the form or leaving the page.

Personal Information

Legend:
* Required field.
1 This datum will be released to other participants in a printed booklet.
2 This datum will be printed onto your name badge.
3 We will use your e-mail address to send mails to you that are necessary for the organization of the conference.
4 This datum will be used internally to distribute participant into diverse groups for welcome event on the first evening of the conference.

Conference Fee

Early Bird Registration (until January 7th)

Student Status Members of supporting institutions1 Non-Members
Students2

PhD students3

Other

Regular Registration (until February 9th)

Student Status Members of supporting institutions1 Non-Members
Students2

PhD students3

Other

Legend:
1 Gesellschaft für Informatik and Gesellschaft für Kognitionswissenschaft.
2 Students below the age of 28. Please send a proof of your student status to registration@interdisciplinary-college.org.
3 PhD students with part-time contracts.

Accommodation

All our single and double rooms are booked out at this moment. Please select a triple room or arrange external accommodation.


Your total fee is: (not visible due to lack of javascript) EUR.

Payment Type

In case you wish to pay by credit card, please fill out the following information, print it, and send it to the conference management via fax. This information will not be transmitted to the server.

Credit card payment form

Please repeat your name and institution as listed above in the registration form (this should be filled in automatically if javascript is available).

My credit card will be charged with the amount of ____ EUR, which consists of my conference fee ( EUR) and my accommodation fee (____ EUR).

My credit card data is:

After printing, please sign this form and fax it to the conference management.

Dietary Restrictions

Course Preferences

Please list the codes of courses which you would like to visit. We will try to adjust the schedule to enable you to visit as many as possible.

By clicking ‘Submit’ you agree that your entered data is transmitted to the conference organizers with the purpose of organizing the conference.