SOAR 6

First Name

Last Name

Personal Email Address

Cell Phone Number

Emergency contact name

Emergency contact phone

Emergency contact relationship to you

Do you need any special accommodations? If so, please explain.

Do you have any dietary restrictions/food allergies?

Will your parent(s) or guardian(s) be attending the Parent & Family Orientation program on the first day of your SOAR session?

Yes

No

If so, how many family members will be attendance?

Will your family members be staying for the complimentary lunch?

Type your full name below to signify that you agree to abide by University & Housing Policies while at SOAR. While staying in the university residence hall, you will keep the facilities clean and not engage in inappropriate activities.