Registration form for the 17th Game Programming Workshop

Name:

Sex: male / female

Do you have a presentation in the workshop?
 a) yes, I have a presentation.
 b) no, but I am a (co-)author of a paper in the workshop.
 c) no, I am just a participant.

Address:

Tel:

Fax:

E-mail:

Are you a student?
  yes / no

Are you going to stay in the workshop venue during the whole period?
  yes / no

If no, please complete the following table.
  Nov. 9 supper:         necessary / unnecessary
  Nov. 9 accommodation:  necessary / unnecessary
  Nov. 10 breakfast:     necessary / unnecessary
  Nov. 10 lunch:         necessary / unnecessary
  Nov. 10 supper:        necessary / unnecessary
  Nov. 10 accommodation: necessary / unnecessary
  Nov. 11 breakfast:     necessary / unnecessary

Do you smoke?
(smoking is not allowed in the conference room)
  yes / no

Do you need a receipt?
  yes / no

If yes, do you need two separate receipts for the workshop and
accommodation fees?
  yes / no

Do you have any special requests?