1. society
2. senior living

SPECIALIZED LOTTERY ROOMING GROUP REGISTRATION FORM:
RISING SENIOR AND MIXED RISING SENIOR-JUNIOR GROUPS
List all of the members of your rooming group. Make sure each person has signed the form.
By signing below, you agree to live in a suite with all of the members of this group.
FIRST NAME, LAST NAME
Please Print Legibly!
CLASS STANDING
Rising Junior or Rising Senior?
SIGNATURE
Example: Rachel Barbarisi
Rising Senior
Rachel Barbarisi
1. Total number of students in your rooming group: 5 6 7 8 (Circle One)
2. Are you a Rising Senior Group or Mixed Rising Senior-Junior Group (Circle One)
3. Your group is registering for which lottery? (Circle One)
Quintuple Sextuple Septuple Octuple
REMEMBER!
This will be your only opportunity to select a quintuple, sextuple, septuple, or octuple suite
You can only register for ONE suite type
The suite type must have the same number of bed-spaces as there are group members
Groups may not change size and regroup during the specialized lottery
Suite selections are required and they are binding. You must choose a suite if your group is
Called even if your preferred suites are not available. Make sure you are comfortable living in ALL
THE SUITES that match your registered room type.
Submit this form to Room 225C at the Inn at Harvard no later than March 31 at 5:00 p.m.