Working Well Weekend Intake Form Name * First Name Last Name Your Arrival Flight (Day, Time, Flight Number) Fly into RDU Airport Your Departure Flight (Day, Time, Flight Number) Fly out of RDU Airport Do you have any dietary restrictions or preferences? Do you partake in alcoholic beverages? Yes, count me in. If you could provide me with a non-alcoholic option, that would be great. List your favorite snacks and drinks. What are you hoping to accomplish during your Working Well Weekend? Anything else we should know? Thank you!