dminlgp Cape Town Advance 2020: Travel and Emergency Contact Survey

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Please fill out this survey below for yourself. You will be responsible for making your way to the Advance location, but we want to be able to track late flights, should we need to do so.

If you are bringing a guest to the Advance, please fill out this survey for them as well.

Last Name *

First Name *

Status *

Alum - LGP1 - LGP8

Student - LGP9

Student - LGP10

Student - LGP11

Faculty Advisor - LGP9

Project Faculty - LGP10

Project Faculty - LGP11

Program admin (Lead mentor, admin, videography, etc)

Guest

Arrival Date *

YYYY

Arrival time *

Time

Airline and flight number *

Ex. LH 712

Departure Date *

YYYY

Departure time *

Time

Airline and flight number *

Ex. LH 712

Are you bringing guest(s)? *

If completing for a guest, mark 'No'

Yes

Guest #1 Name, relation, age

Ex. John Doe, brother

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