Name:______________________________________________________
Additional nights, before June 14, 2012?
Dates: __________________
Additional nights, after June 17, 2012?
Dates: __________________
Mornings
A. Are you up with the chickens ___ B. Need your Beauty Sleep, but on time. ___ C. Always Late! ___
Evenings
A. Do you stay out late to visit? ___ B. In bed by __ pm, not a minute later! ____ C. Negotiable ____
Please copy and paste this page into the e-mail generated when you click on the button! Fill it out and hit send! We will do our best to find you a great
roommate!
You can also PRINT this page and send it along with your registration!