2019 NYC Trip Student Rooming Request
Please complete this form by February 13. If you do not complete this form by February 13, Ms. Leimer will choose your roommates for you. There will be no changing rooms.

Please note that the student trip price is based on QUAD occupancy (4 students per room). If you choose to have less than 4 students in your room, you will have to pay the difference in your final trip payment (DUE February 15).

Please verify with your requested roommates before completing this form. If you are okay with being placed with anyone, please DO NOT fill out this form, just send Ms. Leimer an email (monica.leimer@ocps.net) saying that you don't care who you room with.

All rooms will be single gender. Please do not request roommates that are opposite gender from you. Those requests will not be honored per OCPS policy and you will be placed with random roommates chosen by Ms. Leimer.

Email address *
YOUR Last Name *
Your answer
YOUR First Name *
Your answer
How many students will be in your room (including yourself)? *
Please list the names of up to 3 requested roommates (first AND last name): *
Your answer
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