<p> Rooming List Request</p><p>Group Name: # of Students: Trip Dates: # of Chaperones: </p><p>Instructions:</p><p>1) Assign travelers by gender: 4 guests per student room and 2 guests per chaperone room.</p><p>2) Leave blank spaces when there aren’t enough guests of a single gender to fill a room. No student should ever be left rooming alone or with an adult (other than a relative).</p><p>3) Return completed form via: Email: [email protected] • Fax: 617-450-5601• Mail: 343 Congress St., Suite 3100, Boston, MA 02210</p><p>Please circle: Chaperone / Student Room 1 Male / Female</p><p>Please circle: Chaperone / Student Room 2 Male / Female</p><p>Please circle: Chaperone / Student Room 3 Male / Female</p><p>Please circle: Chaperone / Student Room 4 Male / Female</p><p>Please circle: Chaperone / Student Room 5 Male / Female</p><p>Please circle: Chaperone / Student Room 6 Male / Female</p><p>Please circle: Chaperone / Student Room 7 Male / Female</p><p>Please circle: Chaperone / Student Room 8 Male / Female</p><p>Please circle: Chaperone / Student Room 9 Male / Female</p><p>Please circle: Chaperone / Student Room 10 Male / Female</p><p>Please circle: Chaperone / Student Room 11 Male / Female</p><p>Please circle: Chaperone / Student Room 12 Male / Female</p><p>Please circle: Chaperone / Student Room 13 Male / Female</p><p>Please circle: Chaperone / Student Room 14 Male / Female</p><p>Please circle: Chaperone / Student Room 15 Male / Female</p><p>(Use a second sheet as needed)</p>