On-Campus Event Registration Form

Organization

Type of Activity

Initiation  Social Event  Guest Speaker  Fundraiser for club use
Fundraiser for charity  All Campus Event  Service Project  Other                  

Date of the event :

 (mm/dd/yy)

Time of the Event (please list start and finish time):

Location of Event:

Advisor supervising the event:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Student Responsible for Event:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Please provide a description of the event:

Would you like this event placed on the Student Activities calendar?

Yes No Don't Care

This is not a permission form!  This is for our information only so we can correctly respond to questions and phone requests, and provide accurate information for the activities calendar.