National Capacity Building for Advanced Biomanufacturing Workforce Summit Registration

Please complete and submit this for by 5pm PT, Wednesday May 18, 2022.

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Please check the box to indicate the organization you represent is a current BioMADE member.

Please briefly describe why you want to attend this event and what you hope to gain from the experience. (Max 200 words)

Please indicate the specific travel accommodations you will require. BioMADE may cover a limited number of flight and lodging costs for event attendees that live more than 10 miles from the event venue.

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Please provide a brief description of the accessibility accommodations you will need while attending the event.

By checking the box below, you consent and agree to the following: Bioindustrial Manufacturing and Design Ecosystem (“BioMADE”), its employees, agents, representatives, contractors, and personnel who are acting on its behalf have the right to create, and/or obtain and use any and all photographs, film, video, voice recordings or other media taken of me, including derivative works thereof (collectively, the “Images”) and any reproduction of them in any form in any media whatsoever, whether now known or hereafter created, throughout the world in perpetuity for purposes of BioMADE’s educational and promotional materials, including publicity and marketing of BioMADE and its programs. I further consent to the use of my name or likeness, or assigned fictitious name, in connection with the exhibition, distribution, merchandising, advertising, and/or publicizing of Images or BioMADE. I hereby release and hereby agree to indemnify, defend and save harmless BioMADE, its employees, agents, representatives, contractors, and personnel who are acting on its behalf, from any and all claims, actions, suits, or demands of any kind or nature whatsoever, including, but not limited to, invasion of privacy, right of publicity, copyright infringement, defamation, or any other cause of action arising out of the use of Images and the reproduction thereof as described above. I understand and agree that BioMADE will be the exclusive owner of all rights, including, but not limited to, all copyrights, in and to the Images in whole or part, throughout the world, in perpetuity, in any medium now known or hereafter developed, and to license others to so use them in any manner BioMADE may determine in its sole discretion, without any obligation or consideration to me. I hereby waive any right I may have to inspect and/or approve of the use of the Images or any reproductions thereof, by BioMADE.