Please complete this form within three weeks of your acceptance into MiddCORE's Summer program
Your Preferred First Name *
as you would like it to appear on your MiddCORE name lanyard
Your answer
Your Preferred Last Name *
as you would like it to appear on your MiddCORE name lanyard
Your answer
Your cell phone number *
Your answer
Do you have any food allergies or dietary restrictions? *
Your answer
Will you have a car on campus? *
Students are housed in dormitories on the Asilomar Center campus. To help us assign your room, please answer the following:
Age: *
please put the age you will be during MiddCORE (June 30 - July 28)
Your answer
Sex: *
Your answer
Do you smoke? *
Do you object to smoking? *
Around what time do you like to go to bed? *
Are you an early riser? *
What category do you consider yourself to fall into *
Please rank your ideal room cleanliness level *
Please provide any additional information that would help us to assign suitable housing for you
Your answer
Housing assignments are available upon arrival and not before. Please be prepared for a dormitory situation including double occupancy rooms. We ask you to provide a little information about yourself as we strive to assign roommates of complimentary personal habits. There is no guarantee that students’ housing requests can be met, although we will make every effort to accommodate preferences identified on the rooming form.
What is your mailing address during the school year? *
Your answer
What is your home (your parent/guardian's) mailing address? *
Your answer
Do you have a chronic illness that we should be aware of? If so, please explain; your responses will be confidential. *
Your answer
What is your name on Facebook (so we can add you to the group)? *
Your answer
What is your Instagram handle (so you can see our fun updates leading up to the summer)? *
Your answer
What is your tshirt size? *
shirts are pre-shrunk adult sizes
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