After completing the form, please submit your registration using the button at the bottom of the page. You may also print a copy before submitting to save for your records.

Participant Information

Name:
Campus:	Berkeley Davis Irvine Los Angeles Merced Riverside San Diego San Francisco Santa Barbara Santa Cruz
Attending as:	Chair Vice-Chair Delegate Invited Guest Other LAUC Member Guest
Address:
Street1:
Street2:
City:
ZIP:
Phone:	(Area Code-Phone Number)
E-mail:
Diet needs:	Please note special diet requirements in the box above.

Please fill out your travel information below.

Transportation will be provided for those flying into the Modesto (MOD) or Fresno (FAT) airports based on arrival and departure times.

Transportation to and from Merced's Amtrak station will also be provided. Please enter your arrival and departure information below.

Travel Method:	Air Amtrak Vehicle
Airport:	Fresno (FAT) Modesto (MOD) Oakland (OAK) Sacramento (SAC) San Francisco (SFO) San Jose (SJC)
Arrival:
Airline/Flight:		Date:		Time:
Departure:
Airline/Flight:		Date:		Time:

Additional Comments: