First Name:
Last Name:
Email:
City:
State:	Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Cell #:
Sex:	Male Female
Allergies:
Travel Buddies?:
Have Car?:	Yes No
Do you have your own bedding?:	Yes No
Earlybird or a Night Owl?:	Yes Bring On the Sun!!! No Turn off the light!!!
Stay with:	Male Female I swing both ways
Do you smoke?:	Yes No
Would you like to stay with a smoker?:	Yes No Don't care
Arriving By:	Car Train
Is there anything else we should know about you?:
How long will you be staying with us?:	Thursday Friday Saturday Sunday