UCF Application - Spring 2023 | Fort Myers Chi Alpha

ucf

March 4th, 2023 - March 11th 2023
$330 per person

We are heading to the University of Central Florida with FGCU students for the first time to evangelize and support the Chi Alpha students and staff at UCF. This trip will be led by Taylor Kroeller.

The deadline for submission is 11/15/2022. Our unlimited available spots are FIRST COME FIRST SERVE for FGCU students but are also pending the staff’s review of your application responses. Please fill out and submit this application. You will hear back from Fort Myers XA staff by 11/16/2022.

Upon acceptance onto the team, you must submit your $30 deposit and reserve your spot by 11/18/2022. All payments are non-refundable.

First Name

Middle Name

Last Name

Phone

Address

Birthday

Emergency Contact Full Name

Emergency Contact Phone

Emergency Contact Relationship

Emergency Contact Email

In order to purchase flights, we will need information from your ID & a copy of your ID.

ID Number

ID Experation Date

Allergies, Dietary Restrictions, Health Concerns

Upload Copy of ID