WLUSU Off Campus Events Form

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Off Campus Event Registration Form

Please contact the Programming & Services Manager, Bill Kitchen, via phone for clarification of event regulations and restrictions.

519.884.0710 ext. 2605
wkitchen@wlu.ca

QUESTIONS

1. Name of Group:

2. Group Leader:

3. Contact Person:

4. Contact ID#:

5. Contact Phone Number:

sample: 519-884-0710

6. Contact Email:

7. Destination:

8. Destination Address:

9. Event:

10. Depature Date:

11. Departure Time:

12. Return Date:

13. Return Time:

14. Method of Transportation:

15. I hereby commit to ensuring that the rules and regulations will be adhered to throughout the duration of the proposed event:

I agree	I do not agree

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