Is there someone here on campus you would like to stay with while you are visiting? Enter their name here.
If your first choice is unavailable, do you have another name of someone you like to be placed with?
Please describe any special dietary needs, restrictions or other concerns.
Please enter the name of your home congregation.
Primary email address for Guardian 1
Primary email address for Guardian 2
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I hereby grant Florida College permission to interview me and/or to use my likeness in photographs/video/audio in any and all of its publications and in any and all other media, whether now known or hereafter existing, controlled by Florida College, in perpetuity, and for other use by Florida College. I will make no monetary or other claim against Florida College for the use of the interview and/or the photographs/video/audio. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.