Registration Form

Minors on Campus - Registration Form for Visiting Groups

We care about your safety at Texas State University!

The purpose of this form is to register a group program/activity involving minors on Texas State University campuses. Please complete all fields in the form below and upload a list of all participants three (3) days prior to your visit. This information will assist us in contacting you in the event of an emergency. If you are a prospective student and would like to request a campus tour, click here: Campus Tour.

On-site Contact Information

On-site contact must be with minors at all times during program/activity.

First Name of Teacher/Sponsor (on-site contact) *

Last Name of Teacher/Sponsor (on-site contact) *

Cell Phone Number of Teacher/Sponsor (on-site contact) *

Email of Teacher/Sponsor (on-site contact) *

Off-site Contact Information

In the event of an emergency, we may need to contact a principal/director that is not on the Texas State Campus attending the Program/Activity. Please provide their information below.

First Name (off-site contact) *

Last Name (off-site contact) *

Title of Your Position (off-site contact) *

Phone Number (off-site contact) *

Group/Program/Activity Information

Name of the Visiting Group (school/organization) *

Name of School and School District (if applicable)

Date of Visit (first day) *

Estimated Arrival Time *

(include am or pm)

0/8

Last Day of Visit (if applicable)

Estimated Departure Time *

(include am or pm)

0/8

Does this Program/Activity Involve Overnight Stay in University Housing? *

Yes

Interactive Map of Texas State can be found by clicking the link below:

Map of Texas State University

Location of Program/Activity on Texas State Campus - building name(s)/room number(s) or, if outside, area(s) of campus (please be as specific as possible) *

Texas State Contact

Please list the Texas State contact who has authorized your visit.

First Name

Last Name

Phone Number and/or Email Address

Upload a Tentative List of ALL Program/Activity Attendees and Chaperones *

Finalized list must be emailed to minorsoncampus@txstate.edu by day of attendance.

Upload your Program/Activity Itinerary *

Include location(s) and time(s) (ex. building name(s)/room(s), Spring Lake/Meadows Center, etc.)

Please be advised that the program/activity and all visitors must be in compliance with Texas State University's policies and procedures including, UPPS 04.05.15. All Policies and Procedures can be found on the Texas State University website.

TERMS OF ACCEPTANCE and SIGNATURE: I, the teacher/sponsor for this program/activity involving minors on the Texas State University campus, warrant the truthfulness of the information provided on this electronic form, and have read policy UPPS 04.05.15. *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the policies and procedures of Texas State University.

If you happen to see this, do not fill this field.