Please list your roommate requests. List at least 2 and at most 5.

Please agree to the following:

Health and Behavior Contract -  *1. I/My child has read the Code of Conduct (attached) and agrees to abide by it and other rules and/or regulations. I understand that if I/my child violates the code of conduct s/he may be subject to immediate dismissal. I further understand that I will be responsible for all transportation costs to my home. 2. I/My child has no physical/emotional problems that may be aggravated by events unless mentioned above. 3. The health history is correct as far as I know, and the person herein described has my permission to engage in all planned activities, except as noted on the application. 4. In the event of a medical emergency, I give permission to the physician selected by the advisors to secure proper treatment for my child as named above.

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YFTI Code of Conduct -                                           The following Code of Conduct will prevail for all YFTI events. Please read it carefully and indicate your willingness to abide by these rules by signing the bottom. 1. The drinking and/or possession of intoxicating beverages other than sacramental wine, even if the participant is of legal drinking age, is strictly prohibited. 2. The possession and/or use of any illegal drug, including marijuana, and/or the supplying of drugs to any person at the event is. strictly prohibited. 3.YFTI/Temple Israel events are non-smoking events. Cigarette smoking is prohibited during the weekend. 4.No gambling allowed, except for fundraisers approved by the advisor or Rabbi. 5.Vandalism, disturbing the peace, or other inappropriate behavior as predetermined by the advisor, chairpersons, board, or supervising faculty will not be tolerated, and any damage must be paid for by the person(s) who caused them. 6.No member may fail to attend part of the event or leave the location of the event without the consent of the advisor. Parental permission is also mandatory. 7.Curfews announced by the leadership are to be observed. For home-hospitality, curfew means going directly to your host's home and not leaving it. 8.Any act by a YFTI-ite (participant) that is in violation of Federal, State, or Local law will be in violation of this Code of Conduct. 9.Late arrivals and early departures must be approved by the adult leadership of the event in advance. Parental permission is also mandatory. 10.There are no guests allowed at events unless the advisor has given permission in advance. Unauthorized guests will be asked to leave. 11.Each YFTI-ite (participant) must have signed the Code of Conduct and completed the medical release information prior to attending the event. 12.Any additional rules pertinent to the specific event shall be announced by the advisor, chair people of the event, board, or supervising faculty, and shall be observed as written rules. Any infraction of the above rules will result in disciplinary action by the advisor in consultation with the board. We have read the rules above, understand them, and will abide by them.