VJAS Attendee Details

A medical emergency form (.docx) and a media release form (.docx) MUST be completed for each student in attendance. Please deliver these signed forms, along with any pending payment, at registration check in.

  • This field is for validation purposes and should be left unchanged.
  • Name of the person completing this form. Should be a group sponsor or parent of an individual member.
  • Email address of the person completing this form.

  • Attendee Details

  • For each student attendee registered, please indicate the following. Enter the full name of the roommate for each student.
    First NameLast NameGenderEmergency Contact # (Parent)Roommate 
  • For each sponsor & chaperone registered, please indicate the following. If registrant will be in a single occupancy room, indicate SINGLE in the "Roommate" field.
    First NameLast NameRoommate 
  • Please indicate if members of your group need considerations for the following. Catering will be notified and reasonable effort made to provide alternatives. Serious issues, such as life-threatening allergies, should also be noted by parents on medical forms.
  • Please submit any additional information, suggestions, or questions to help us best provide for a positive on-campus experience.
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