Registration

First Name
Last Name
Address (Line One)
Address (Line Two)
City
State
Zip
E-mail
Birthday
Telephone Number
School
Organizations & Positions Held
T-Shirt Size
Please indicate if there is a contact person other than the name listed at the top of the form.

Are there any special accomodations we should be made aware of (i.e.: dietary needs, handicap, allergies, etc.):

For anyone flying in/taking Amtrak, there will be a shuttle service to/from the aiport or train station. By plane, you will need to fly into the Philadelphia International Airport. By train, you will need to arrive at the 30th St. station.
I will be needing a shuttle	Yes No
If Yes (From where)	Airport Train Station
If you require this service, please fill out the form below:
Airline/Train:
Number:
Arival Day & Time:
Departure Day & Time:

The cost is $275 per person for registration by Friday July 1st, 2005. The cost is $300 per person for late registration by Friday July 15th, 2005. Please make your checks payable to Saint Joseph's University.

Send Registration Materials to: Office of Student Leadership attn: NJSLC 5600 City Line Avenue Philadelphia, PA 19131