Please provide your first name (as it will appear on your name tag).
Your answer
Last Name *
Please provide your last name (as it will appear on your name tag).
Your answer
Role on Campus *
Please select your role on campus.
Department Name
Please indicate which department you work for (if applicable).
Your answer
Please select your role on MGB: *
Required
Accompanying Persons
If you are bringing people from outside of Merrimack College with you please indicate their name(s) here.
Your answer
Accompanying Minors
If you or someone you are bringing is UNDER THE AGE OF 18 please indicate that age here.
Your answer
Allergies
Please indicate any allergies you may have (peanut butter, latex, etc.).
Your answer
Special Accommodations
Please indicate if you require any special accommodations regarding transportation, service assignment, etc.
Your answer
Email Address *
Please provide your email address.
Your answer
Questions, Comments, or Concerns
Please let us know if you have any questions, comments, concerns, or if you need to tell us any information. If you are going to be a Trip Adviser please let us know if you want to advise a specific group here.
Your answer
A copy of your responses will be emailed to the address you provided.