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2012 Kyoto Prize Symposium
Group Registration Form

Fields marked with an asterisk (*) are required information.

1.	*Group Leader's First Name:	2.	*Group Leader's Last Name:
3.	*Postal Code/Zip Code:	4.	*Telephone:
5.	*E-Mail Address:	6.	*E-mail Address (Confirm):
7.	If your group represents a local high school, please name the school:

Date/Time	Event	Venue	More Information	Online Registration
Tuesday, March 20, 2012 5:30 - 9:00 p.m.	11th Kyoto Prize Symposium Opening Ceremony and Gala, "The Kyoto Prize: Celebrating Outstanding Lifetime Achievement"	Hilton San Diego Bayfront 1 Park Boulevard San Diego, CA 92101 Map/Location	Gala admission is $300 per person. To purchase tickets, contact 858-352-8400 or kyoto@japan-society.org
Wednesday, March 21, 2012 10:00 - 11:30 a.m.	Advanced Technology Presentation, with 2011 Kyoto Prize Laureate Dr. John W. Cahn	San Diego State University, Parma Payne Goodall Alumni Center Map/Location	This event is free to the public. For details, contact Melissa Henss, 619-594-5744 or mhenss@mail.sdsu.edu	Register *Number of persons attending this event:
Wednesday, March 21, 2012 3:30 - 5:00 p.m.	Basic Sciences Presentation, with 2011 Kyoto Prize Laureate Dr. Rashid Sunyaev	University of California San Diego, Price Center Ballrooms A & B Map/Location	This event is free to the public. For details, contact Kristi Worley, 858-822-5996 or kworley@ucsd.edu	Register *Number of persons attending this event:
Thursday, March 22, 2012 10:30 a.m.- 12:00 p.m.	Arts and Philosophy Presentation with 2011 Kyoto Prize Laureate Mr. Tamasaburo Bando V	University of San Diego, Camino Hall/Shiley Theatre Map/Location	This event is free to the public. For details, contact Kristi Figone, 619-260-4222 or kfigone@sandiego.edu	Register *Number of persons attending this event: