Student Club Event Registration

Name: E-mail:
Club Name: Tel#:
Date of Event:

Time Required: -
Title of Event:
Type of Event: (Guest speaker, fundraiser, activity etc..)

If you selected guest speaker, please fill in the following:

Guest Speaker:
Topic:

If the event takes place after 6:00 p.m:

Faculty & Staff Member Supervising Event:

 

Comments:

 

Before you do anything else you MUST submit this form a minimum 5 working days prior to event.