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Date Submitted: (Ex: 7/10/18)
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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 13th, 9:00 am )
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Enter the time your event begins: (Ex: Friday, July 13th, 1:00 pm)
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Day, Date, Time Expected to Return: (Ex: Friday, July 13th, 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. John Doe, 123-456-7890)
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Secondary Contact Name and Number: (Jane Doe, 987-654-3210)
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Select all attending:
Auten, Jake
Bowman, Robert
Chapman, Will
Coburn, Caleb
Dowless, Holden
Engel, Caleb
Evans, Luke
Garrison, Nathaniel
Goard, Matthew
Gore, Miller
Hartman, Aiden
Hewett, Colin
Hudson, Thomas
Jasinski, Michael
Kilduff, Nicholas
Lane, Ian
Marshall, Jarrod
Messich, Hunter
Moss, Colbin
Oehler, Dalton
Poythress, Austin
Rathje, Dylan
Rathje, Trevor
Roger, Drake
Rogers, John Mason
Root, Waylon
Sayers, Collin
Stern, Jordan
Strong, Cooper
Tappy, Greyson
Valentine, Tanner
Winkler, Casey
Yoder, Evam
Mccowan, Matthew
Merritt, Cooper
Brown, Will
Powell, Brady
Stubbs, Abram
Ostwalt, Gage
Taylor, Chase
Linville, Joshua
Sheppard, Alex
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 Erin Sanders)
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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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