Fillable Student Organization Travel Participant Roster Complete all sections (Keene State College)

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Student Organization Travel Participant Roster Complete all sections (Keene State College)

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The Student Organization Travel Participant Roster Complete all sections (Keene State College) form is 1 page long and contains:

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*Attached additional pages if participants exceed the number of available spaces above
Student Organization Travel
Participant Roster
Complete all sections in red and return to the Office of Student Involvement.
Trip Name: Trip Sponsor:
Trip Departure Date: Trip Return Date:
Trip Requestor Cell Phone Number:
To Be Completed By The Participant or Student Organization
To Be Completed by The
Office of Student
Involvement
Participant Name
KSC ID
Number
Current Student
Medical
Questionnaire
Liability Waiver
Personal Vehicle
Form
Defensive Driving
Certified
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Who will be
Cell Phone
driving on
this trip?
Please indicate
Personal
or Rental
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Student Organization Travel Participant Roster Complete all sections (Keene State College)

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Completed 22 August 2020

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