2007 ACADEMIC RETREAT –
INTENT TO REGISTER FORM
This intent to participate pre-registration form will not automatically register you for the Retreat. This form is for estimating the number of participants only. Please return this form to Sub Region 4 Director, Jami Coleman’s, email at jami.coleman@gmail.com by August 4, 2007.
The date anticipated Dates of the Retreat is October 19-21.
* * * * * * * * * *
Name
Graduation Month/Year
Student Status beginning August 2007:
1L 2L 3L
Cellular Phone or Summer Telephone ( )
Preferred E-mail Address (required)
This intent to participate pre-registration form will not automatically register you for the Retreat. This form is for estimating the number of participants only. Please return this form to Sub Region 4 Director, Jami Coleman’s, email at jami.coleman@gmail.com by August 4, 2007.
The date anticipated Dates of the Retreat is October 19-21.
* * * * * * * * * *
Name
Graduation Month/Year
Student Status beginning August 2007:
1L 2L 3L
Cellular Phone or Summer Telephone ( )
Preferred E-mail Address (required)
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