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First Year Retreat 2015 Sign Up
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* Indicates required question
Name
*
First Last
Your answer
What is your Computing ID?
*
(The five or six character phrase that begins with your initials / your email address)
Your answer
What is your phone number?
*
Please include area code
Your answer
What dorm are you living in this year?
*
Your answer
Do you have any dietary restrictions?
Check all that apply, or none if no restrictions
Nut Allergy
Vegetarian
Gluten-Free
Other:
Do you have any non-food allergies? If so, list them here.
Your answer
You will be picked up at your dorm to go to the retreat at 4pm. Will you be able to make this time?
*
Yes
No
If not, when will you be able to leave?
Your answer
Please give an emergency contact phone number
*
Please include area code
Your answer
What name and relation are associated with that number?
Name (Relation)
Your answer
Do you have any other questions or comments?
Your answer
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