MIB 2.0 Registration Form

MIB 2.0: Human-Centered Innovation, AI & Mental Health

Ticket purchase and event registration are separate steps. After purchasing your ticket, please complete this registration form so we can finalize seating, meal planning, and accommodations. All information is kept confidential and used solely for event planning purposes.

Contact Details

Name(Required)
Please enter your name as you would like it to appear on event materials.
Email(Required)
We’ll use this email to send important event updates and day-of information.
If applicable, please let us know the organization you are attending with.

Dietary Restrictions

If you have dietary restrictions, please tell us about them and we’ll do our best to accommodate.
Please let us know if you prefer to sit with specific people or an organization and we will do our best to accommodate. If you have any accessibility requirements please share them here.
If there is anything else you would like us to know about your attendance at our event, please indicate it below.