University Programming Council - Valparaiso University

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KIDS & SIBS WEEKEND REGISTRATION FORM

UNION BOARD SIBS AND KIDS REGISTRATION

VU STUDENT INFORMATION
	NAME:	YEAR:
	CAMPUS ADDRESS:	CELL PHONE:
	T-Shirt Size:

SIBLING INFORMATION:
	SIBLING #1:	Age:
	T-Shirt Size:

	SIBLING #2:	Age:
	T-Shirt Size:

	SIBLING #3:	Age:
	T-Shirt Size:

	SIBLING #4:	Age:
	T-Shirt Size:

	ADDRESS:	PHONE:
	CITY, STATE, ZIP:

PARENT/GUARDIAN INFORMATION:
	NAME:	PHONE:
	EMAIL:	required -	for email confirmation
To help ensure delivery of your confirmation email, please add valpo.upc@valpo.edu to your approved senders list.

EMERGENCY CONTACT INFORMATION:
	NAME:	PHONE:
	RELATIONSHIP TO SIBLING(S):

Is the sibling staying with a VU Student? PLEASE NOTE:only same sex siblings are allowed to spend the night in their college sibling's residence hall room due to campus policy. Other arrangements, for opposite sex siblings, need to be made prior to arrival and are the responsibility of the VU student, not Union Board.
If no, where will sibling(s) be staying?:

Any special needs that we should be aware of (including allergies):

By clicking SUBMIT below, I hereby give my son/daughter (named above) permission to attend "Sibs and Kids Weekend" at Valparaiso University. I understand that although Union Board is sponsoring "Sibs and Kids Weekend", and that the VU student listed above, not Valparaiso University, are responsible for their visiting siblings.