External Request Form for Camps & Conferences

External Camp & Conference Registration

Please submit form for your camp/conference by filling out the information on the form below. Someone will contact you once the form has been reviewed.
Organization Name*
Camp/Conference Name*
Contact Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Website*
Previous Location(s) camp/conference was hosted*
Beginning Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
If Camp
If Day Camp, what is the start time and end time of your camp?
example: 1:00pm to 5:00pm
If Conference
Estimated Number of Participants*
Cost of your Camp or Conference (Fee charged to participants)*
Please provide estimated budgets for the following:
Supplies:*
Meals:*
Housing:*
Room Fees:*
ATU Camp Insurance:
Travel:*
Additional Information
Do you need Housing?*

YesNo
Estimated Cost of Housing:
Do you need meals?*

YesNo
Estimated Cost of Meals:
If known, please list the Facilities you wish to request:
Comments:
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

External Camp & Conference Registration