1. January Orientation 2013 Registration:

Check-In will take take place between 10:00am - 10:30pm (Davis Center, 4th Floor). Our January Orientation program will conclude by 4pm. The program is free for students and lunch will be provided. Parents, family members or friends are welcome to attend with you. There is a $5.00 fee per guest, which can be paid at Check-In.

First Name

Last Name

Student ID Number (a.k.a. "95 number")

Email Address

Phone number

Are you a...

How many family members/friends will be attending with you (if any)?
*There is a $5.00 fee per guest, which can be paid at Check In.

UVM Academic Unit/College

Would you like to request assistance or specify dietary needs?

If yes, please explain:

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