Student Information
First Name Last Name Street or P. O. Address City State Zip Sex: Female Male T-Shirt Size: Select Size adult small adult medium adult large extra large 2X 3X Area Code and Home Phone Number E-mail Parent Name Parent Phone
First Name Last Name
Street or P. O. Address
City State Zip
Sex: Female Male
T-Shirt Size: Select Size adult small adult medium adult large extra large 2X 3X
Area Code and Home Phone Number
E-mail
Parent Name Parent Phone
School Information
School Street or P. O. Address City State Zip Publication Adviser 2007-2008 Staff Position 2008-2009 Staff Position Total number of years on staff:
School
Publication
Adviser
2007-2008 Staff Position
2008-2009 Staff Position
Total number of years on staff:
Lodging Options
Commuter ($0) Quad Occupancy ($90)
Parking Options
I need a parking permit: yes no Make/Model Year Tag Number
I need a parking permit: yes no
Make/Model Year
Tag Number
Class Registration
Roommate Information
Roommate 1 Roommate 2
Roommate 1
Roommate 2
