Entry Form Must Be Submitted by 5 pm, April 21, 2008

YES! I will be attending the YOVASO Summer Retreat June 25 – 27 at Liberty University in Lynchburg, Va.

Name of School

School Telephone

School Sponsor

Name

Telephone

Home Address

Email

Number of Students Bringing

Emergency Contact Number

Overnight Accommodations: YOVASO has reserved a block of rooms in the student dorms for school sponsors, SRO’s, presenters and staff. These rooms are free and will be shared 2 per room. If you have other rooming needs, please contact YOVASO at (540) 345-0003.

Yes, I will need a room in the dorms

No, I will not need a room in the dorms

If you know of another SRO/Sponsor attending who you would like to share a room with, you may specify a roommate below.