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Date Submitted: (Ex: 7/10/21)
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Destination and Facility Specifics if Available: (Physical, 911 Address Required)
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Purpose of Trip: (Why are you going)
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Team(s) you are competing against: (Ex: Michigan, Davidson, Georgia Southern)
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Day, Date, Time of Departure: (Ex: Friday, July 13, 9:00 am )
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Enter the time your event begins: (Ex: Friday, July 13, 1:00 pm)
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Day, Date, Time Expected to Return: (Ex: Friday, July 13, 7:00 pm)
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Housing details (list name of hotel, address, any other details you may have about where your team is staying) enter N/A if team is not staying overnight:
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Contact Name and Number (Ex. Lee Kiefer, 123-456-7890)
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Secondary Contact Name and Number: (Sam Carpenter, 987-654-3210)
Select all attending:
Bilbro, Jackson
Broshar, Henry
Christensen, Ava
Chromey, Meisha
Dancy, Caleb
Dougherty, Sean
Duncan, Jacob
Geddings, Jackson
Girling, Hayden
Goodman, Jack
Gregory, Carter
Hamilton, Macy
Holgate, Kennedy
Holshouser, Braden
Howarth, Matthew
Johnston, Eliza
Lambeth, Taylor
Lopez-Marecos, Alejandro
Miller, Cole
O'Connor, Kylie
Perry, Clarice
Reynolds, Payton
Saladin, Chloe
Schram, Matthew
Small, Gaines
Smith, John
Stockham, Luther
Storie, Owen
Thomas, Lily
Tuttle, Winston
Underwood, Jeremiah
Watrous, Luke
Weinmeister, Turner
Womble, Luke
Add any other names of those attending that are not listed: (If these participants do not have an MIC on file, they may not travel with the team until they have filled out an MIC and have been cleared by your Executive Officer or Coordinator for Sports Programs)
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Submitted By:
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By selecting this box you are acknowledging that this form was filled out to the best of your knowledge and you understand that submitting false information could lead to infractions against your team that may result in loss of funding or even suspension. Should any of this information change, you understand that you need to communicate the change to University Recreation as soon as possible as well as note the changes on the competition report form that is to be filled out upon completion of this competition.
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