Registration Form
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Last Name
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Your answer
First Name
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Your answer
Gender
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Male
Female
Email Address
*
Your answer
Cell Phone
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Your answer
School
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Choose
CCP
Drexel
Penn
PSU
Temple
UDel
USP
High School
Other
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Departure Time
*
What time can you leave for the retreat on Friday, 11/08? PLEASE ANSWER CAREFULLY. We will use your response to this question to arrange rides to the retreat. Please let us know what time you will be finished with classes, work, etc. and will be packed and ready to go.
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Anytime
After 3 PM
After 4 PM
After 5 PM
After 6 PM
Transportation
*
Can you drive to the retreat?
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Yes
No
Vehicle Capacity
How many people does your car hold (including yourself)?
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4
5
6
7
8
I drive a school bus.
Pick Up Location (eg. UPenn, Temple, your address, etc.)
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Notes
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