Lodging Registration Disaster Institute Lodging Registration Please complete class registration prior to filling out the lodging request. Rooms are limited, we will contact you if you qualify for one as soon as possible. OK Question Title * 1. Please fill out your contact infomation Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 2. What nights do you need lodging? (select all that apply) Friday night Saturday night both OK Question Title * 3. When are you taking classes at the institute? (select all that apply) Friday PM Saturday AM Saturday PM Sunday AM Sunday PM OK Question Title * 4. How long is your commute to the institute? (from Home) less than 25 mi less than 50mi over 50 mi OK Question Title * 5. Is there someone that you would like to share the room with? OK Question Title * 6. Do you have any special lodging needs? OK DONE