To:	orientme@fau.edu
Subject: Camp Owls Form
       

Pleae copy this link into your browser to submit your application fee:
https://epay.fau.edu/C20081_ustores/web/product_detail.jsp?PRODUCTID=180
____________________________________________________________________________________


First Name 	[firstname]		

Last Name	[lastname]

Z Number	[znumber]

Email		[email]			

Phone		[phone]			

Address		[address]

City		[city]

State		[state]			

Zip Code	[zip]

Emergency Contact Name		[em name]

Emegency Contact Phone		[em number]

Insurance Company		[insurance]

Policy Number			[policy]




Do you have any medical conditions that may affect yoru participation in the Camp Owls Program?	
[medical]		


Please list any special dietary needs you have:		
[dietary]


Camp Owls Leadership Experience
First Year Float:Everglades		[everglades]

First Year Float:Florida Keys		[florida keys]

First Year Float:Peanut Island		[peanut island]

First Year Float:Leadership Experience	[leadership experience]


Pleae tell us about yourself and your high school involvement:	
[schoolinvolvement]	


How will the Camp Owls Program experience helo you with your transition to FAU?
[transition]


What impact do you hope to have at FAU?
[impact]