Fillable Program/Event Registration Form (Elizabethtown College)

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Program/Event Registration Form (Elizabethtown College)

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ELIZABETHTOWN COLLEGE HUMAN RESOURCES
Working with Minors
Program/Event Registration Form
Please complete all fields and return to Human Resources.
Name of Program/Event: _____________________________________________________________________________
Department Organizing the Program/Event: _____________________________________________________________
Organizer(s) of the Program/Event: ____________________________________________________________________
Date(s) of Program/Event: ____________________________________________________________________________
Number of Minor Participants: ____________________ Age Range of Minor Participants: __________________
Number of Staff Members: _______________________
Location of the Program/Event: _______________________________________________________________________
Description of the Program/Event:
List all Authorized Adults for the Program/Event (attach additional pages if necessary):
The term “Authorized Adults,” as defined in the Policy Regarding Minors on Campus, refers to individuals who will be
directly responsible for the supervision of minors while participating in the program.
Signatures:
_____________________________________________________________ ___________________
Program/Event Organizer Date
_____________________________________________________________ ___________________
Direct Supervisor of Program/Event Organizer Date
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ProgramEvent Registration Form (Elizabethtown College)

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Completed 20 August 2020

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