Registration 2023 Dear colleagues, by submitting this registration form you confirm your participation in the 6th Bonn Brain³ Meeting from August 7th to 9th 2023 at the University of Bonn. Note: After submitting the form, you will be automatically forwarded to the payment of the participation fees (payment only possible by credit card). Please have your credit card details ready for registration. You will be asked to pay the fees directly in the next step and cannot carry out this step at a later date.Early registration fees are available until 1st of June, 2023. PrefixnoneDr.PhD.Prof.Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Please enter your institution here*Is your institute part of Bonn Neuroscience Community?*YesNoProfessional level*Bachelor / Master student (free)Bachelor / Master student with meals (15€)Technician (90€, early registration)Doctoral student (PhD and/or MD) or Postdoc of the Bonn Neuroscience Community (90€, early registration)Doctoral student (PhD and/or MD) or Postdoc (110€, early registration)Principal Investigator of the Bonn Neuroscience Community (180€, early registration)Principal Investigator (220€, early registration)Industry (360€, early registration)Total 0,00 € The fee you have to pay.Student ID*Accepted file types: jpg, png, pdf. I would like to participate in the following events: Events Shake the Brain - Party (09.08.) Meals Lunch is included in the registration fees. In order to plan lunch accordingly please let us know whether you will join lunch. (check box if you will join the provided lunches) Vegetarian (check box if you prefer vegetarian meals) Childcare I would require on site childcare during the conference. Childcare availability is limited based on demand.Gender*femalemaledo not wish to sharePrivacy Policy* By submitting this registration form, I agree that my personal data may be stored on the Bonn Brain³ server and used for the organisation of the Bonn Brain³ meeting. I hereby confirm that I must contact the Bonn Brain³ organizing team if I do NOT want pictures of myself published on the Bonn Brain³ website or other related media.Unigue IdentifierPhoneThis field is for validation purposes and should be left unchanged.