Rusticatio Omnibus 2018
SALVI Rusticatio Omnibus Dates: July 8 - 14, 2018
First Name *
(nomen)
Your answer
Last Name *
(nomen gentilicium)
Your answer
Latin Name
(nomen Latinum)
Your answer
Email Address *
(inscriptio electronica)
Your answer
Mailing Address *
(inscriptio cursualis)
Your answer
Phone Number *
(numerus telephonicus)
Your answer
Alternate Phone Number
(alter numerus telephonicus)
Your answer
Institutional Affiliation, if any. If no institutional affiliation, please describe your Latin background: *
Your answer
Please rate your Latin speaking ability: *
If you have you attended Rusticatio before, please tell us which year(s).
Your answer
If you have attended any other full-immersion Latin workshops (not including Rusticatio) please tell us which one(s) and what year(s).
Your answer
Are you...? *
Esne...?
What is your age?
This question is optional but responses will be used to better house participants.
Do you snore? *
solesne stertere?
Do you smoke?
solesne fumum haurire?
Are you a vegetarian/vegan? *
esne holerarius/a an holerarius/a strictus/a?
Do you have any special dietary restrictions? Please describe.
Your answer
Do you have any medical conditions we should know about which might affect your comfort or safety during the workshop? Please describe briefly.
Your answer
Emergency contact -- list name and phone number: *
Your answer
Is there anything else that we should know in order to help you have the best week of learning we can?
Your answer
T-Shirt Size: *
(a regular cotton t-shirt)
Please email rusticatio@latin.org if you have any questions or concerns.
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