Summer Program Individual Reservation
Form
Contact Information
Participant Name:
Female
Male
Reason for Housing at WSU Need:
Participant Phone #:
Participant Email:
Participant Birthdate:
Participant Home Institution:
Participant Mailing Address:
Billing Name:
Same as Event
Billing Phone #:
Billing Email:
Billing Address:
Same as Mailing
Check-in/Check-out Information
Requested Check-in Date:
Requested Check-in Time:
AM
PM
Requested Check-out Date:
Requested Check-out
Time:
AM
PM
Room Information
Double/Shared
Single/Private
ADA Accommodations Description:
ADA Accommodations Needed?:
Yes (please
describe)
No
Additional Amenities
Yes
No
Dining Service
Requested?:*
Yes
No
*If dining services are requested our team will reach out to determine the extent of services required and the best pricing option for you.
I understand that as an individual seeking housing at WSU I may be rooming with other individuals with similar
reservation requests.
I have read and understand the information within WSU’s HRL Summer Camps and Conferences Information Packet and
agree to follow all outlined policies and procedures.
Signature:
Date:
click to sign
signature
click to edit