NACURH Annual Conference Waiver

NACURH Annual Conference Delegate Waiver
Full Name

First NameLast Name
E-mail
Institution (please no abbreviations)
System schools- please include your campus location
Are you under the age of 18?
Parent/Guardian E-mail
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.
Conference Information:
ANNUAL CONFERENCE WAIVER
Signature
PHOTO/MEDIA RELEASE
Signature
Should be Empty:

NACURH Annual Conference Delegate Waiver