Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Implant Sign-up
getting implants at hacker summer camp.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name and or handle?
*
Your answer
What is the best way to reach you during hacker summer camp, Email, or Phone? Please include your phone number and or email address if you want an implant.
*
Your answer
Do you have any previous implants, or will this be your first? If you already one what do you have?
*
Your answer
What implant do you want?
*
NFC(xNT)
RFID(xEM)
both (xNT & xEM)
When do you want to get implanted?
*
During DEFCON Biohacking Village Implant Party (TBA)
During BSides Las Vegas Monday 8/6
During BSides Las Vegas Tuesday 8/7
During Bsides Las Vegas Wensday 8/8
During DEFCON Thursday 8/9
Do you wish to be notified when the implant party has been announced and posted to
www.villageb.io
the DEFCON Biohacking Village 2018's website? What email address would you like this to be sent to?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
