Registration Form
Last Name *
First Name *
Gender *
Email Address *
Cell Phone *
School *
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.
Transportation *
Can you drive to the retreat?
Vehicle Capacity
How many people does your car hold (including yourself)?
Pick Up Location (eg. UPenn, Temple, your address, etc.)
Notes
Submit
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