Event Start Time: Event End Time:
If Miss Lawrence Tech will have any breaks, please list those times:
What type of attire should Miss Lawrence Tech wear?
Will Miss Lawrence Tech need to wear her Crown and/or Sash?
A brief conversation to clarify any questions or expectations should occur upon Miss Lawrence Tech’s arrival.
Please describe what Miss Lawrence Tech will be doing at your event:
There is no fee for an appearance by Miss Lawrence Tech. However, as a member of the Miss America
Organization (MAO), Miss Lawrence Tech is required to speak for a cause. The MAO national platform is
Children’s Miracle Network (CMN). A donation to CMN or LTU is greatly appreciated. Checks may be written to
Lawrence Technological University.
You may submit this form to the Office of Student Engagement by fax, email, or in person.
Office: A. Alfred Taubman Student Services Center, Suite C404
The Office of Student Engagement will notify you by email if your request to reserve Miss Lawrence Tech is
Signature of Renter Date
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