2nd Research Conference on Relational Aggression

							2nd Research Conference on Relational Aggression
    Department of Psychology and Center for Children & Families
                   University at Buffalo, SUNY
                                       June 19th & 20th 2006
                                   (Deadline: June 15th)
                                 (Free) Registration Form
Name: ____________________________ □ Ph.D.                         □ M.A.         □ B.A.

Institution: ____________________________________________________

Current Position: _______________________________________________

Address:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Email: ________________________________

Phone: ________________________________

Fax: __________________________________

□    I plan to attend both days of the conference
□    I plan to attend only Monday June 19th
□    I plan to attend only Tuesday June 20th
□    I would like to attend the group dinner on Monday (Participants will pay for their own food and we will
try to provide transportation)


□ I would like to present at the conference. What is your proposed topic? We no longer
have any room for additional presenters or discussion facilitators. There will be many
opportunities for informal discussion of data and research ideas.

Please describe any special needs or dietary concerns: ____________________________
________________________________________________________________________
________________________________________________________________________

Please email this form as an attachment to Kirstin Grös at kgros@buffalo.edu or
Mail to: Dr. Ostrov, 214 Park Hall, Department of Psychology, Buffalo, NY 14260-4110