Name and Preferred Name

REL 303 APPLICATION (ok to write or type). Return to Lynn Dodd mailbox in ACB 130 or scan or email to [email protected] (take care when spelling this email)

Name and preferred name: Weavi Prepari match loose Student ID: ng ng raw es gravel/ Email at USC: Spinnin meat Buildin dirt Non-USC email: g for g a fire Collecti Cell phone: Dying cookin Throwi ng Home phone (at permanent address): Making g ng materi Already declared majors/minors: tools Smelti knives als at Thinking about majors/minors: or ng (legally the Year graduation planned: ornam (=melti ) beach Year of high school graduation: ents ng rock Making Being I object to getting sweaty and/or dirty as part of a from or ink in an course at USC shell, metal Using enviro YES ______NO ______SOMEWHAT bone, into ink and nment ______OTHER stone liquid quill where ______Flint metal) pen to you knappi Blacks write may I can be available from May 21, Monday at 6AM ng mithin Making encoun through May 23, Wednesday at 6PM without limitation Grindin g food ter in order to participate in a multi-day, overnight field trip g Candle from birds, (not camping) on Santa Catalina Island. grains/ making plants fish, YES NO OTHER RESPONSE: nuts Soap grown squirre ______Cookin making or ls, ______g Making gather mice, anythi fire at ed bees, I can be available to meet with this class for PRE- ng campsi person spiders MAYMESTER sessions on AT LEAST TWO OF THESE from te in ally , DATES (check them and please write in your calendar): “scratc any Walkin insects, ______Monday January 22 6:30PM (pizza and salad h” way g up small served) Bread Making and lizards ______Monday January 29 6:30-7:30PM (pizza and making fire down and, salad served) Cheese withou hillside rarely, ______Wednesday February 21 6:30-7:30pm (pizza making t s on snakes and salad served) Other comments for professor: ______Wednesday February 28 6:30-7:30pm (pizza and salad served) Signature of professor to approve D clearance: ______Circle or highlight or make bold any of these listed Commitment Fees and Refund Policy activities that you have EVER done (none are necessary; A $400 commitment fee is required upon registration just want to know what class members already have into this class. Please review the Withdrawal and experienced). Note: if you have any concerns with any Refund Policy. Fill out the Commitment Fee Refund and of these activities, please contact the professor at Withdrawal Acknowledgement and return [email protected]) to [email protected] or drop off at ACB 130 in Prof. Lynn Dodd's mailbox. Kayaki Snorke Swimm Archer ng ling ing y Hiking