After completing the form, please submit your registration using the button at the bottom of the page. You may also print a copy before submitting to save for your records.

Participant Information

Name:
Campus:
Attending as:
Address:
Street1:
Street2:
City:
ZIP:
Phone:    (Area Code-Phone Number)
E-mail:
Diet needs:


Please note special diet requirements in the box above.



  • Please fill out your travel information below.
  • Transportation will be provided for those flying into the Modesto (MOD) or Fresno (FAT) airports based on arrival and departure times.
  • Transportation to and from Merced's Amtrak station will also be provided. Please enter your arrival and departure information below.
  •  
    Travel Method:
    Airport:
     
    Arrival:
    Airline/Flight: Date: Time:

    Departure:
    Airline/Flight: Date: Time:


    Additional Comments: