Laker Dayz 2012 Registration Survey

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1. Please provide the following information:

Please provide the following information: Name:
GSC Student ID#:
Mailing Address:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

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2. I would like to RSVP for the following Laker Dayz session(s):

I would like to RSVP for the following Laker Dayz session(s): Laker Dayz: River Venture! (July 30th, 2012)

Laker Dayz: Discover Athens! (July 31st, 2012)

Laker Dayz: Stone Mountain Madness! (August 2nd-3rd, 2012)

3. GSC will provide one meal during your Laker Dayz session. Please provide any dietary restrictions or needs in the space below.

GSC will provide one meal during your Laker Dayz session. Please provide any dietary restrictions or needs in the space below.

4. GSC is committed to making Laker Dayz available to all qualified students. Please let us know if you need any specific disability accomodations in the space provided.

GSC is committed to making Laker Dayz available to all qualified students. Please let us know if you need any specific disability accomodations in the space provided.

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Laker Dayz 2012 Registration
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