Spit Camp Registry Form Spit Camp @ UCIName/Title Pick Your Dates Please select your first and second choices for attending;First Choice Mar 24-26, 2020May 13-15, 2020Jul 29-31, 2020Sep 16-18, 2020Oct 28-30, 2020Second Choice Mar 24-26 2020May 13-15, 2020Jul 29-31, 2020Sep 16-18, 2020Oct 28-30, 2020Attend optional 3rd day? Three day Spit Camps have an optional third day.YesNoUndecidedPosition FacultyPost DocOtherIf Other Institution/University/Dept. Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone Email Major Focus of Research Salivary Analytes of Interest Will you require parking at UCI? YesNoPlease Note Every effort will be made to accommodate the choices you have indicated above in order of preference. Early pre-registration is recommended. Camp dates will be assigned on a first come, first serve basis, and group size is limited to 5-8 participants per session. You will be contacted as soon as at least 4 participants are pre-registered for the dates you have chosen above, at which time a non-refundable registration fee will be collected from each participant. If fewer than 4 pre-registrations are received for a given date, the camp will be rescheduled. To cancel/change a pre-registration date please contact us at your earliest convenience via email: IISBR@uci.edu VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
