Costa Rica 2009 Roommate Request Form

Please make sure that your requests are on your trip (Trip A, B, or C)

Questions please contact Drew  seelmand@hpumc.org

PLEASE NOTE:  HPUMC Youth Staff can only guarantee 1 of your requests

Your Name:*
Roomate Request #1
Roomate Request #2
Roomate Request #3
 
To prevent spam, please answer the following question.
What is the sum of one and four?*