ROOMMATE REQUEST FORM Please fill out the form and hit submit when completed. You will receive a confirmation e-mail that your form has been received. Name: Email Address: ka-Bloom Screen Name: FiveCon Arrival Date: FiveCon Departure Date: Smoking Room Preferred: Yes No Number of roommates preferred: 1 2 3 Doesn't Matter Do you snore? Yes No Do you mind if others snore? Yes No Noise tolerance level: I'm a partyer! Quiet, please! Special considerations we should know: We'll do our best to match everyone with a roommate with similar preferences, but remember that part of the fun of the weekend is getting to know other ka-Bloomies and making new friends from around the world, so embrace the adventure! By filling out and submitting this form, you grant ka-Bloom permission to give your e-mail address to the person(s) we have matched you with for the weekend. Once parties agree to the match, any subsequent switching of roommates will be solely decided between yourselves. ka-Bloom will not act as mediator. However, if someone's plans change, and you find yourself without a roommate, please e-mail rebecca@ka-Bloom.org right away. REMINDER: Booking and paying for the hotel room itself remains your responsibility and should be sorted out in conjunction with the person/people whom you are matched with. Return to FiveCon Website
ROOMMATE REQUEST FORM
Please fill out the form and hit submit when completed. You will receive a confirmation e-mail that your form has been received.
Name:
Email Address:
ka-Bloom Screen Name:
FiveCon Arrival Date:
FiveCon Departure Date:
Smoking Room Preferred: Yes No
Number of roommates preferred: 1 2 3 Doesn't Matter
Do you snore? Yes No
Do you mind if others snore? Yes No
Noise tolerance level: I'm a partyer! Quiet, please!
Special considerations we should know:
We'll do our best to match everyone with a roommate with similar preferences, but remember that part of the fun of the weekend is getting to know other ka-Bloomies and making new friends from around the world, so embrace the adventure! By filling out and submitting this form, you grant ka-Bloom permission to give your e-mail address to the person(s) we have matched you with for the weekend. Once parties agree to the match, any subsequent switching of roommates will be solely decided between yourselves. ka-Bloom will not act as mediator. However, if someone's plans change, and you find yourself without a roommate, please e-mail rebecca@ka-Bloom.org right away.
REMINDER: Booking and paying for the hotel room itself remains your responsibility and should be sorted out in conjunction with the person/people whom you are matched with.
Return to FiveCon Website
