Student Name *
Student Gender *
Student Status *
Arrival Date & Time *
Departure Date & Time *
Will you need parking? *
Would you like an Activity Center membership? *
Meal Plan Options (choose one) *
Summer 20: $670.50+tax — any 20 meals throughout the summer in the dining hall and 500 Dollars of Meal Money.
Summer 60: $611.00+tax — any 60 meals throughout the summer in the dining hall and 50 Dollars of Meal Money.
Summer 80: $764.67+tax — any 80 meals throughout the summer in the dining hall.
Summer 120: $928.53+tax — any 120 meals throughout the summer in the dining hall.
None of the above
Meal Passes — Are you interested individual meal passes ($9.73 per pass)? *
If yes, please enter the number of meal passes:
Company Name *
Submission of this form is not a guarantee of housing at UT Dallas. Residential Camps & Conference Services will contact you with additional information.