Initial Registration Form | Minors On Campus

Program Administrator

First Name

Last Name

NMU Phone Number

NMU Email Address

Program

Program Name

Program Begin Date

NMU Department (Host)

Program Website Address

Physical Location of Program

Additional Information

Will there be overnight stays?

Yes

No

Will there be any off-campus activities?

Yes

No

Will minors be transported once they arrive on campus?

Yes

No

Please enter enough itinerary information so that the NMU Police Department will know when and where children will be on NMU's campus and whether you will travel off-campus. Example: "Children will be on campus in the Seaborg Center or in grassy areas outside West Science from 9-12, M-F during the program." -or- "Children will be on campus for roughly 30 minutes starting at 1pm. We will travel together by bus to a Presque Isle hiking trail, returning at 5pm for parent pick-up. Drop-off and pick-up will be at the University Center."

Itinerary

Expected number of participants

Expected number of paid staff

Expected number of volunteers

Initial Registration Form - Minors On Campus

*For Program Administrator Use Only*

Program Administrator

Program

Additional Information

For Program Administrator Use Only