2022 PONI Summer Conference Registration
Use your full legal name; no nicknames please!
June 28th (Conference)
June 29th (Tour)
Will you be attending lunch?
Will you be attending the evening reception and dinner?
Please list any dietary restrictions:
Please enter in the following format, as it appears on your government-issued ID:
Date of Birth
Place of Birth
Please acknowledge if you are a U.S. citizen. If you are not a U.S. citizen by proceeding you understand that access to the PONI conference is dependent on approval by the host, which may require additional information and time to process. Admittance to the PONI conference is based solely on base access.
Are you a US citizen?
Social Security Number (SSN)
Driver's License Number (U.S. Citizens) OR Passport Number (Non-U.S. Citizen)
State of Issue (Driver's License) OR Country of Issue (Passport)
Do you possess a DOE ID Card?
Do you have any sort of medical devices? (e.g. hearing aids, pacemaker, etc.)
What type of medical device(s) do you have?
I acknowledge that the PONI Conference is an off-the-record event to foster more candid discussions. Please check to agree.