Informatics Department Trip Signup
Required fields are marked with an asterisk *
*Student Name:
*Student Email:
*Telephone:
Field of Study:
Payment Type:
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Cash
Year Classification:
Select One
Freshman
Sophmore
Junior
Senior
Graduate
Transportation (Check both if alternating.)
Personal Vehicle
University Vehicle
Reason for Attending
Addtional Accommodations
Comments
Number of Bags (Max 4):
Comments: