Registration
Personal Information
First name:
*
Last name
*
:
Address
*
:
City
*
:
State:
*
Zip:
*
Home Phone:
*
Cell Phone:
Email:
*
Password:
*
University Information
University Attending?
*
Classification?
*
Freshman
Sophomore
Junior
Senior
Grad Student
Other
InterVarsity Chapter?
Staff Worker?
LaFe Events Previously Attended?
Track:
Select a Track...
Embracing
Engaging
Emergency Information
Dietary Restrictions?
Allergies?
Emergency Contact Name?
*
Emergency Contact Number?
*
Relation to You?
*
Travel Information
Travel Option*:
Driving
Flying
Arrival Date and Time:
Arrival Flight Number:
Departure Date and Time:
Departure Flight Number:
* Transportation will only be provided to those arriving at LAX
Housing
(All room will have two beds. Some will have an additional roll-a-bed.)
Room Occupancy:
*
Quadruple $250
Triple $300
Double $350
Roommate Request:
*Required
