2017 Conference/Camp Intent Form Conference/Camp Title: Sponsoring Department or Organization: Contact Information Name: Title: Address: Phone: Email: Billing Information (If different from above) Name: Title: Address: Phone: Email: For Campus Departments: Are you paying with an: ISR Foundation Account # Accounts Receivable □ □ □ Conference/Camp Information Description of conference/camp (activities, age range of participants, etc.): Conference/Camp Website: Will this camp have minors?: Yes No □ □ Required: On-Site Emergency Contact and Cell Phone: Please list any additional spaces on campus you will need Conference and Guest Services to reserve (e.g. banquet rooms, BreakZone, pool, gym, etc.) Please include dates and times: Lodging Information (if your group needs to be housed by gender, please provide estimated numbers, otherwise indicate your total participants in the total line) Staff Participant Participant Participant Participant Staff Check Check-In Early Check-In Check Out Late Out Arrival Departure Dates Estimated # of Females Estimated # of Males Total Preferred Building Type: Air Conditioned □
2017 Conference/Camp Intent Form Conference/Camp Title: Sponsoring Department or Organization: Contact Information Name: Title: Address: Phone: Email: Billing Information (If different from above) Name: Title: Address: Phone: Email: For Campus Departments: Are you paying with an: □ ISR □ Foundation Account # □ Accounts Receivable Conference/Camp Information Description of conference/camp (activities, age range of participants, etc.): Conference/Camp Website: Will this camp have minors?: □ Yes □ No Required: On-Site Emergency Contact and Cell Phone: Please list any additional spaces on campus you will need Conference and Guest Services to reserve (e.g. banquet rooms, BreakZone, pool, gym, etc.) Please include dates and times: Lodging Information (if your group needs to be housed by gender, please provide estimated numbers, otherwise indicate your total participants in the total line) Staff Check-In Participant Early Arrival Participant Check-In Participant Check Out Participant Late Departure Staff Check Out Dates Estimated # of Females Estimated # of Males Total Preferred Building Type: □ Air Conditioned
2017conferenceintentform.docx