*
Date Submitted: (Ex: 7/10/18)
*
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 attending:
Turn in MIC
Eure, Andrew
Abernethy, Caleb
Bennett, Alex
Bessey, Dakota
Biddy, Riley
Cardone, Cole
Clark, Travon
Clement, Hunter
Davis, Elijah
Dowd, Carter
Garrison, Reagan
Greer, Jaron
Hayward, Rowan
Hellner, Harrison
Herbst, Brendan
Hobbs, Brett
Hudson, Samuel
Hunter, Eric
Knudson, Eric
La Bar, Andrew
Lay, Nicholas
Lewis, Elis
Lipschitz, Jacob
Moore, Patrick
Nguyen, Josh
Rabon, Jay
Ramsey, Dylan
Reese, Spencer
Roberts, Chase
Rollans, Aaron
Rose, Adam
Ruiz, Christopher
Schneider, Aaron
Scott, Carson
Smith, Ricky
Stewart, Benjamin
Tomlin, Cole
Topper, Caleb
Sullivan, Connor
Corbett, Bryce
Castro, Gerardo
Graves, Christian
Clark, Jackson
Inman, Taylor
Berard, Josh
Parada-Sosa, Alfonso
Smith, Quentin
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)
*
Submitted By:
*
By selecting this box, our team has reviewed and will abide by the Return to Play Guidelines approved by the Club Sports Office.
Our team is following the approved Return to Play Guidelines.
*
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