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Boggs Center NJLEND Event Registration - 11/28/18


  • Complete the following information and click the SUBMIT button for online registration.
  • Submission of the online registration form sends an email request to The Boggs Center and is not a confirmation of registration. When your form is received, Boggs Center staff will register you for the event requested, based on space availability.
  • You will receive a confirmation when your registration request has been reviewed and approved. If you do not receive a confirmation, please contact us to verify registration and to receive directions and materials.
  • If the event is full, you will be notified.
  • If you have any questions, please contact:
    Vanessa Duverneau
    The Boggs Center
    Phone: 732-235-9327
    Fax: 732-235-9330

All fields followed by an asterisk(*) must be filled in.

Participant Name and Contact Information



Registration Contact (Person submitting registration if different from above)


Accommodations Needed
For planning purposes, please let us know if you are a wheelchair user, or if you need Braille handouts, a Sign Language Interpreter, or other accommodations.

Sends your application by email to The Boggs Center
Accessibility Statement
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Robert Wood Johnson Medical School

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