Student Send-off Event Registration

Please complete the form below to register your Student Send-off event.

Club Name
Primary Event Planner
Primary Event Planner Contact Information
Phone Number
E-mail
Mailing Address
Shipping Address
Host Contact Information
Host Name
Phone Number
E-mail
Mailing Address
Shipping Address
Event Information
Date of Event
Time of Event
Event Location and Address
Description of Event	Please include event style (pool party, BBQ, reception) and other essential details such as host name(s), attire, parking, etc.
Invitees Include	(Check all that apply) *Hosts and Club Presidents will automatically receive a hard copy invitation. Incoming Students Returning Students Incoming Parents Returning Parents Local Alumni (e-blast by REO) Club Members (e-blast by REO) Club Leaders (e-blast by REO)
Preferred Method to receive Financial Support	Please select one
	Direct Deposit to UVa Fund Account
	Account #:
	Mail Check
	Make Check Payable to:
	Mail Check to:
Do you need assistance securing a speaker?	Yes No
Do you need a proof of insurance certificate for your event venue?	Yes No
Do you need a tax exempt form if available in your area?	Yes No
Will you need event supplies?(cups, napkins, balloons, etc.)?	Yes No