Avery Point Writing Retreats Form Writing Retreat - Avery Point Name* First Last Email address* Department* Status/Job Title* Campus* Avery Point Storrs Hartford Waterbury Stamford If you are from an Extension office, please specify in "other"Select your sandwich/wrap type* Turkey Vegetarian Ham Tuna None Please let us know if you have dietary restrictions (gluten-free, dairy allergy, etc.) at the end of the form. Thank you!Select a piece of fruit* Apple Orange None Select your chips* Regular Lays Baked Lays None Select your dessert* Chocolate Chip Cookie (GF option available) Brownie None Select your beverage* Coke Diet Coke Sprite Water None Dietary RestrictionsEmailThis field is for validation purposes and should be left unchanged.