2018 NACURH Annual Conference Waiver

NACURH 2023 Annual Conference Waiver
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Email*
Institution*
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Institution Name If not Listed
Are you under the age of 18?*

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Parent or Guardian Email
Since you are under the age of 18 your parents or guardians will need to fill out a form as well. It will be sent to the email above. Please have them fill it out before the conference.
EMERGENCY CONTACT INFORMATION
Emergency Contact Full Name*
Emergency Contact Phone Number*
Health Insurance Provider
Health Insurance Policy Number
Health Insurance Provider Phone Number
DELEGATE DISCLAIMER STATEMENT
CONFERENCE DRUG & ALCOHOL POLICY
Alcohol and illicit drugs are recognized as substances that may have a negative effect on the lives of college students. As a leadership organization that works largely with college students under the legal drinking age, it is recognized that alcohol is not needed for a good time or to promote positive growth. Illicit drugs can be lethal. All NACURH conferences, retreats, and meetings will be designated “alcohol and drug free.” The method of enforcement will be at the discretion of the Conference Staff, in consultation with the NACURH Chairperson, NACURH Advisor, NACURH CRC, and the Advisor from the school the student represents.
MEDIA RELEASE
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NACURH 2023 Annual Conference Waiver