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Sophomore Retreat Registration

Please fill out all relevent information and press the button labeled "Submit Form" at the bottom of this form. ALL FIELDS ARE REQUIRED. Any application missing required fields will be considered incomplete.

General Information:

Salutation:
First Name:
Last Name:

Student ID #:

Sex: M F

Summer Contact Email:

Date of Birth (MM/DD/YY):

Summer Contact Address:
City:
State: Zip:

Summer Phone #:

T-Shirt Size: S M L XL XXL

List Sophomore Retreat Weekend Preference(1st,2nd):
August 22nd to 24th
September 5th to 7th

Activity Survey:

*Remember, all of the activities during the weekend are challenge by choice!!! All activities are optional and you are not obligated to participate in anything with which you are uncomfortable.

List the order of preference (1 through 6) for the leadership challenge activities you would most be interested in:
Rock Climbing
High Ropes (in the trees)
Low Ropes (on the ground)
Sailing
Kayaking/Canoeing
Team-building Challenges

Aditional Information:

Do you have any dietary, medicine, and/or allergy restrictions? If so, what are they?


How did you hear about Sophomore Camp? (Check all that apply)
Word of Mouth
Flyer
Banner
Website
Letter
During Class
Email
Other (explain):

Who recommended you to attend the Leadership Retreat?

In a few words, what do you hope to gain from this experience?


NOTE: You will receive a copy of this application by email.

Transportation, accommodations, meals and activities are provided. The weekend is completely free to participants, although a $20 deposit is required when registering. The deposit is refunded upon attendance at the Retreat.
Buses leave IIT at 1pm and 6pm on Friday and return at 6pm on Sunday. You will receive more info about the Retreat this summer.