2021 Senator Alumni Summit Registration GeneralName* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email* Phone*Please upload a copy of your travel itineraries/receipts. If you will be driving, you can state that on a Word document and upload it.*Max. file size: 10 MB.If you are committed to attending the Summit but are not yet able to book your travel, please email Rob at email@example.com.Will you be over the age of 18 at the time of the Alumni Summit?*YesNoAbout YouUndergraduate College/University* College Graduation Year*2019202020212022202320242025OtherCollege Graduation Year (if Other)* Major/Field of Study* Employer/Grad School (if applicable) If you have graduated college, where do you live now? (City, State) Hotel, Food, and TravelExpected COVID vaccination status at the time of the Alumni Summit:Fully VaccinatedPartially VaccinatedNot VaccinatedWould you like assistance finding in roommate? If you answer yes, the Coolidge Foundation will put you in touch with another Senator who is also seeking a roommate.*YesNoIf you have made plans to room with another Senator, please put their name below. Please list any food allergies or dietary restrictions that you have.ReleasesPlease complete the following Medical and Photo release, available at the URL below, and upload a picture or scan of it in the following form field: https://coolidgefoundation.org/wp-content/uploads/2021/07/Medical-and-Photo-Release-Form-Over-18-1.pdfUpload Release Form*Max. file size: 10 MB.