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Habitat for Humanity Collegiate Challenge Registration: Week of March 12th
Early registration deadline: December 9th (for $25 discount)
Final registration deadline: January 27th
$275 for non drivers, $225 for drivers
$100 either Cash OR Checks made out to Lafayette Habitat for Humanity to register
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Email
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Your email
Name
*
Your answer
Preferred Name/Nickname
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Local Address
*
Your answer
Permanent Address
Your answer
Year at Purdue
*
Freshman
Sophomore
Junior
Senior
Grad
Dietary Restrictions
Your answer
Are you a PAYING member of Purdue Habitat for Humanity? (If not, you must pay an additional $15 membership fee)
*
Yes
No
You may list up to three other people with whom you would like to travel to the site with.
Your answer
Are you willing to provide your personal vehicle for transportation, which will reduce the trip cost by $50 (gas is also reimbursed up to $150).
*
Yes
No
If you answered yes to the previous question, how many people can your car seat (excluding you)?
Your answer
I will contact
mckee38@purdue.edu
to organize a time to pay the deposit by the deadline (Cash or checks made out to Lafayette Habitat for Humanity)
*
Yes
Send me a copy of my responses.
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