International Center for Law and Religion Studies | 2024 BYU Religious Freedom Annual Review Registration

Salutation (e.g., Mr., Ms., Mrs., Dr., Prof., Rev.)

Given Names(Required)

Surname(Required)

Gender(Required)

Birthdate(Required)

Job Title/Position(Required)

Organization/Institutional Affiliation(Required)

Address Line 1

Address Line 2

City

State/Province

Postal Code

Preferred Name on Badge(Required)

Full name as it should appear on the program)(Required)

Preferred Phone (include country and area code)(Required)

Preferred Email(Required)

Assistant Name

Assistant Work Phone

Assistant Email Address

Departure City (and Airport)

Return City (and Airport)

Preferred Airline

Preferred Seating

Frequent Flyer Number (if available)

Known Travel Number (TSA PreCheck Number) (if available)

Dietary Restrictions

Other Special Needs

Accompanied by spouse/guest?

Spouse/Guest's Given Name(s) (if attending)

Spouse/Guest's Surname (if attending)

Please note: Guest travel and additional hotel room costs are paid by the guest and not by the conference organizers.

Will the speaker be sharing a hotel room with their guest or does the guest need a separate hotel room?

I am willing to receive further communications from the organizers (e.g., program information, flight arrangements, etc.)(Required)

I have emailed (or will email) a high-resolution headshot of myself.

Please write a brief biography (limit to 200 words)(Can cut and paste from another document)

Consent(Required)

I agree to the above terms and conditions relating to the event.