February U-Days Registration

* Name of church (no abbreviations):
* School’s name (no abbreviations):
* Address of school:
* City school is located in:
* State/province school is located in:
* Zip code of school:
* Will you have chaperones?
* List a contact number we can reach you at during your stay:

Chaperone(s)

(All Adults):
* Last name * First name * Gender (M/F) * Housing Required (Y/N) Emergency Contact # Email
    How many rows are needed?
* Arrival method:
Arrival date: Arrival time (HH:MM AM/PM):
Arrival airline name: Arrival flight #:
Departure date: Departure time (HH:MM AM/PM):
Departure airline name: Departure flight #:
* Arrival date: * Arrival time (HH:MM AM/PM):
* Departure date: * Departure time (HH:MM AM/PM):
* Will you need us to pick you up at the airport?*

*NOTE: WWU will provide transportation for groups from/to the Walla Walla (ALW) or Pasco (PSC) airports.
* Where will you need to be picked up from?
* Will there be male students attending?

MALE STUDENTS ATTENDING

(NOT listed as chaperones above):
* Last name * First name * Housing Required. (Y/N) Emergency contact # Email Major of interest
    How many rows are needed?
* Will there be female students attending?

FEMALE STUDENTS ATTENDING

(NOT listed as chaperones above):
* Last name * First name * Housing Required. (Y/N) Emergency contact # Email Major of interest
    How many rows are needed?
Please list ANY other information that we will need to be aware of as we work on planning (ie special dietary needs or food allergies, medical conditions etc).

  Please fill out the following information for the person that submits this form.
* First name: * Last name:
* Cell phone: * Email:
* By initialing this form, you acknowledge use of your electronic signature as shown, as well as having read and understood the WWU Reimbursement Policy. To ensure eligibility for reimbursement students and chaperones must attend all required events as indicated in the U-Days schedule:
Initials:   Sat Sep 20, 2014 3:05 pm
  * Response required