IBE 213 2020 Submission Form 212-2023 Fields marked with an * are required First Name * Last Name * Email * Phone * Please include a phone number where we can reach you or leave messages in case we need to reach you quickly. Date of Arrival * Please arrive at the venue Sunday, December 10, after 3 p.m. unless you have arranged extra nights with the Institute. Extra nights are based upon availability and not guaranteed. Date of Departure * You will check out of your room at 10 a.m. on Friday, December 15, unless you have arranged extra nights with the Institute. Extra nights are based upon availability and not guaranteed. You will be given a break to bring your bags to the lobby where they will be secured until you finish the final exam. The final exam is scheduled from 1-3 p.m. Checkbox List Vegetarian Vegan Gluten-Free Please add any additional dietary requirements below. Food will be served buffet style in one of the facility dining rooms. We will ensure there are options for all. Additional Dietary Requests Are you EMR sensitive? * Yes No It is very important that we reserve the low-EMR rooms for the most sensitive, so please indicate that you are so only if you cannot stay in a room with ambient Wi-Fi. Extra Nights? Your room & board covers arrival Sunday evening, with check-out Friday morning. At checkout. you can bring your luggage down to the classroom and we'll store it until you have completed your Final Exam and are ready to depart. Some shoulder days are available should you need to come in a day early, or stay Friday evening. The cost is an extra $155 per night. If you need an extra day (or days), please note it below and we'll arrange it with the venue. Please note this is on a first-come/first-serve basis. Enter dates for extra nights below. If you are a human seeing this field, please leave it empty.
