International Human Performance Summit
Registration Form

Registration is $300 and includes two days of interactive presentations and discussions along with breakfast, lunch, snacks, and refreshments. If interested in discounted rates for Military, Student or One Day Pass please contact Michelle Valero at +1 210 522 2260.

FULL NAME
Last Name:
First Name:
Title:	Mr. Ms. Dr.
Suffix:
Job Title:
Employer:
ADDRESS
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
E-mail Address:
Phone Number:
Dietary Restrictions:
CITIZENSHIP INFORMATION
Are you a U.S. citizen?*	Yes No
What is the country of your citizenship? Required information. Please provide:
Do you need a letter of invitation to process a Visa request? Yes No
PAYMENT INFORMATION
Payment Method:	Payment Method Credit Card Wire Transfer

CANCELLATION

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No refunds will be made after Monday, July 17, 2023. Substitutions for the workshop will be accepted, preferably with advance notice. If SwRI cancels the workshop due to circumstances beyond our control, SwRI shall refund the registrant the previously paid registration fee.