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* Name
* Email
* Phone Number
* School
* Home State
* College State
* Class Year (select) 2007 2008 2009 2010 2011 2012
* Do you need housing? (select) yes no
Housing is limited, and will be given out on a first-come, first-served basis.
* What group(s) are you involved with?
* Would you like to be part of the planning committee? (select) yes no
What qualifications do you have for being part of the planning committee?
* Verify