Signs Along the Way Fall 2023

How did you hear about Signs Along the Way ?

Personal Information:

First Name

Last Name

Birthdate

Email Address

Cell Phone

Please send me important updates via text message (standard message charges will apply)

Yes

No

Gender

Pronouns

Mailing Address

Country

Street

City

Region

Postal Code

Program of Interest

About your Visit:

Will a guest be accompanying you?

Yes

No

Number of guest attending

Name of guest:

Relationship to you (i.e. spouse, parent, child, etc.)

Name of second guest

Relationship of second guest to you

Name of third guest

Relationship of third guest to you

Name of fourth guest

Relationship of fourth guest to you

Name of fifth guest

Relationship of fifth guest to you

Accommodations:

Do you need lodging for your visit?

Yes, please reserve a hotel room for me

No, I have a place to stay in the Bay Area

Are you willing to share a hotel room with another prospective student?

Yes

No

Not Applicable, I'm travelling with a guest

Please share any gender preferences you have in sharing a room with someone:

Dietary Restrictions:

Please specify

Do you have any accessibility needs or mobility limitations that you would like us to be aware of?

Travel:

How will you be traveling to the Bay Area?

Flying

Driving

The retreat will begin at 10:30am Saturday and end at 12:30pm on Monday. We recommend flying in on Friday unless you are taking a short regional flight early in the morning Saturday. PLTS can accommodate up to three nights of hotel stay. If you are extending your time in the Bay Area for personal travel, please do not list those dates; only list arrival/departure dates for PLTS-provided accommodation.

Arrival Date

What airport will you be flying into?

Arrival Time (we will notify the hotel if you are expecting to check in later at night)

Departure Date

Departure Time

PLTS has a need-based stipend fund that can help cover travel expenses. Please contact admissions@plts.edu if you would like to request financial assistance for travel.

For the safety of the PLTS Community and its visitors, we require that all attendees be vaccinated for COVID-19, including all eligible booster doses. Are you fully vaccinated and boosted for COVID-19?
We ask that all attendees bring proof of vaccination with them to the retreat.

Yes

No