*
Date Submitted: (Ex. 9/8/20)
*
Destination and Facility Specifics if Available: (Physical, 911 Address Required)
*
Purpose of Trip: (Why are you going)
*
Team(s) you are competing against: (Ex: Michigan, Davidson, Georgia Southern)
*
Day, Date, Time of Departure: (Ex: Friday, July 13th, 9:00 am )
*
Enter the time your event begins: (Ex: Friday, July 13th, 1:00 pm)
*
Day, Date, Time Expected to Return: (Ex: Friday, July 13th, 7:00 pm)
*
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:
*
Contact Name and Number (Ex. John Doe, 123-456-7890)
*
Secondary Contact Name and Number: (Jane Doe, 987-654-3210)
*
Select all members attending/traveling:
TURN IN MICS
Arch, Caroline
Bolick, Ellie
Christensen, Amelia
Collins, Hannah
Cook, Matthew
Di Benedetto, Katie
Donadio, Hallie Rose
Fox, Jake
Garris, Lauren
Gras, Katherine
Henry, Spencer
Hess, Erika
Houle, Grace
Jennes, Madison
Kapfhammer, Sabrina
Kozicki, Kaitlyn
Ladchinger, Caroline
Lee, Andrew
Masterman, Kayla
McGee, LA
Melum, Chloe
Morain, Devon
Morgan, Gabby
Nyland, Leif
O'Sullivan, Sophia
Riggsbee, Meredith
Sammons, Emily
Scruggs, Augusta
Skinner, Rachel
Spradling, Will
Thompson, Ava
Tuttle, Hunter
Wagner, Olivia
Woshburn, Seth
Zug, Bennett
Barney, Claire
Benninghofen, Dottie
Mathues, Max
Skalbe, Anna
Coleman, Reid
Bonetto, Matt
Boyles, Audrey
Coleman, Reid
Holder, Rachel
Moore, Sarah
Lincoln, Dakota
VanMeter, Cassandra
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)
*
Submitted By:
*
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.
Confirm