Application Form

17th International Summer School and Symposium on Humour and Laughter
Purdue University, West Lafayette, USA
July 17-22

If you would like to attend the Summer School and Symposium, please complete the form below and submit it. That will send your details to the Summer School organisers by email. If you have any difficulties with this procedure, or if you do not see a "Thank You" page to acknowledge your form when you submit it, then you should print the paper-printable version of this form, fill that up and send it via ordinary mail (the address is on the contact page).

Name
Dr/Mr/Ms/etc.
Forename(s)
Surname

Contact Information
Preferred contact address
This address is:
Home
Work
Other

Telephone

Email address
We shall mainly use email (not post) to contact applicants.

Category
Please select exactly ONE of these options (see the Registration page for details of fees).
  • Student (please send proof of status by email or by post)
  • ISHS Member
  • AATH Member
  • Former Summer School Participant
  • Other

Occupation
Please tick - more than one if appropriate:
  • Academic
  • Health professional
  • Performer
  • Student
  • Other - please specify :

Other information
Qualifications (post secondary or high school)
Relevant experience (in brief)
Reason for interest in the Summer School
Where did you hear about the Summer School?

Further information for the Summer School organisers (optional)
(for example, any dietary requirements)


Verification Code
To prevent automated posts by spam-sending programs, please enter the text shown on the image in the box below, so we can be sure this form was submitted by a human.
Enter here: