Fall Honors Retreat Application

Date: Saturday, October 6, 2012 THIS EVENT IS FULL

Begins: 12:15pm

Ends: TBA

Location: Honors Coffee Forum - Lampasas Building

Dinner will be provided.

Space is limited to the first 75 students to sign up online. Students in the Honors Living Learning Community are encouraged to attend.

EVENT IS FULL

The deadline for registration is Monday, September 10, 2012.

Last Name, First Name *

TxState ID *

Personal Email Address *

Age *

Gender *

Male

Female

Major *

Dorm/Residence *

Cell Phone # *

Emergency Contact, Relationship to Applicant *

Emergency Contact Phone # *

Please list any allergies or food preferences (i.e. vegetarian):

Please list any health issues:

By signing up for this retreat, I understand that if I do not cancel my attendance before Wednesday, September 26, 2012, or do not show up for the retreat, I will be charged a cancellation fee of $50.00. *

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Fall Honors Retreat Application