FIRST NAME                             LAST NAME
         
 ADDRESS                                      CITY                        STATE       ZIP CODE
        
 PHONE NUMBER                        EMAIL
                   
 PLEASE NOTE ANY DIETARY OR PHYSICAL NEEDS:
 


CASH, CHECKS, AND ALL MAJOR CREDIT CARDS ACCEPTED AT TIME OF REGISTRATION.
  $70.00 - DOUBLE OCCUPANCY RATE PER PERSON
                  ROOMMATE 
  $90.00 - SINGLE OCCUPANCY RATE (BASED ON AVAILABILITY)
  $28.00 - COMMUTER RATE
  INTERESTED IN A SCHOLARSHIP