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registration.html
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---
layout: page
title: Registration
registration_open: no
form_api_token: 251c06938d6079b41363a752acd1598d
---
{% if page.registration_open %}
<p class="message">
Registration is open.
</p>
{% else %}
<p class="message">
Registration is closed.
</p>
{% endif %}
{% if page.registration_open %}
<p>
You can use this form to register for the GAP Days.
Alternatively, you can register by writing an email to
<a href="mailto:gapdays@coxeter.de">gapdays@coxeter.de</a>
with the information we ask for below.
</p>
<p>
If you any questions
regarding registration or the conference, feel free to
<a href="mailto:gapdays@coxeter.de">contact us via email</a>.
</p>
<form action="http://getsimpleform.com/messages?form_api_token={{page.form_api_token}}" method="post">
<div class="form-field">
<div class="form-field-title">
<label for="name">Name <span class="form-field-req">*</span></label>
</div>
<input type="text" size="60" maxlength="80" name="name" autofocus required />
<!-- autofocus with fallback for older browsers -->
<script>
if (!("autofocus" in document.createElement("input"))) {
document.getElementById("q").focus();
}
</script>
</div>
<div class="form-field">
<div class="form-field-title">
<label for="email">Email <span class="form-field-req">*</span></label>
</div>
<input type="email" size="60" maxlength="80" name="email" required />
</div>
<div class="form-field">
<div class="form-field-title">
<label for="affiliation">Affiliation</label>
</div>
<div class="form-field-description">
Please enter the name of your home university, institute etc., if any.
</div>
<input type="text" size="60" maxlength="80" name="affiliation" />
</div>
<div class="form-field">
<div class="form-field-title">
<label for="arrival_date">Arrival date <span class="form-field-req">*</span></label>
</div>
<div class="form-field-description">
Please select the first day you will attend the conference.
</div>
<select name="arrival.date" id="arrival_date" required>
<option value="Sunday or before">Sunday or before</option>
<option value="Monday" selected="selected">Monday</option>
<option value="Tuesday">Tuesday</option>
<option value="Wednesday">Wednesday</option>
<option value="Thursday">Thursday</option>
<option value="Friday">Friday</option>
</select>
</div>
<div class="form-field">
<div class="form-field-title">
<label for="departure_date">Departure date <span class="form-field-req">*</span></label>
</div>
<div class="form-field-description">
Please select the last day you will attend the conference.
</div>
<select name="departure.date" id="departure_date" required>
<option value="Monday">Monday</option>
<option value="Tuesday">Tuesday</option>
<option value="Wednesday">Wednesday</option>
<option value="Thursday">Thursday</option>
<option value="Friday" selected="selected">Friday</option>
<option value="Saturday or later">Saturday or later</option>
</select>
</div>
<div class="form-field">
<div class="form-field-title">
<label for="funding">Funding?</label>
</div>
<div class="form-field-description">
We have some limited funding available to cover travel and hotel expenses.
If you need support in order to attend the workshop, please let us know an
estimate of your expected travel and/or accommodation expenses by
registering <strong>before the 16th of February</strong>. We may be able to
cover up to 500 Euros, however, the final amount will also depend on how
many requests for support we receive.
</div>
<input type="text" size="60" maxlength="180" name="funding" />
</div>
<div class="form-field">
<div class="form-field-title">
<label for="presentation">Presentation?</label>
</div>
<div class="form-field-description">
Would you like to give a short presentation (about 20 minutes) of a GAP
package or GAP related research? If this is the case, please briefly tell
us what you would like to talk about.
</div>
<textarea name="presentation" rows="10" cols="60"></textarea>
</div>
<div class="form-field">
<div class="form-field-title">
<label for="presentation">Comments</label>
</div>
<div class="form-field-description">
If you have any comments, questions or suggestions, please enter them here.
</div>
<textarea name="comments" rows="10" cols="60"></textarea>
</div>
<input type='hidden' name='redirect_to' value='{{ site.url }}{{ site.baseurl }}/thank-you' />
<div class="form-field">
<input type="submit" value="Register!" />
</div>
</form>
{% endif %}