Winter Registration Form

Statewide Catholic Student Campus Ministry
REGISTRATION FORM

College / University Name : College of Charleston

Student Name______________________________________ Male / Female  ___ Graduation yr. _____

Address________________________________________________________________

Phone__________________________________

E-mails_______________________________________

Emergency home contact name & phone number________________________

Any dietary restrictions____________________________________________________

Any medical conditions which advisors need to know_____________________________

COST: $25.00 (non-refundable)

If you have any trouble covering this cost, talk with Jim Grove. Financial Aid is available.

Must provide own transportation – will make carpool list available.

Must bring own toiletries, towels, and sleeping bag or bed linens, & pillow.
We will be outside. Bring appropriate clothing , shoes, & jacket for the current weather.


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