Complete the form to register for Flourish 2008. Items marked with an asterisk are mandatory. Information submitted will be used exclusively by the Flourish Team and will not be shared with any third party.

Flourish 2008 is free provided you pre-register using the form below. Non-registered attendees will be asked to pay a five dollar registration fee. Pre-registered attendees will receive a free Flourish 2008 T-Shirt! Registration will be open until Wednesday, April 2nd or until we reach our maximum occupancy.

First Name:*

Last Name:*

E-mail Address:*

I wish to receive occasional mailings from Flourish:*

Your Profession:

Your Employer:

Your School, University and/or College:

UIC Staff, Student and/or Faculty:

Organization or Community:

Where Are You From:

Shirt Size:*

Attending the Networking Event:*

Attending the Hack-a-thon:*

Comments: