HHYRA Conference Group Registration
Use this form to register a group for the April 11th 2025 HHYRA Conference at Rutgers University.
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Email *
Name of Primary Contact person *
Primary Contact Phone Number *
School, Organization, or Group name *
How many individuals in this group (including primary contact) *
If there are minors (under 18) in this group, please list the names and contact information of each chaperone (over 21) in the group
Any minors (under 18) on campus must present a parental consent form in order to attend university events. Will you be using the Rutgers University permission slip form or your own permission slips? *
If you are using your own permission slips, be sure to include the following two statements: "I hereby give my child permission to participate in the event listed. Although the event coordinator(s) will use the utmost precaution in guarding the health of the above participant and preventing accidents, I release them from any liability in case of illness or injury as a result of this activity." "Rutgers, The State University of New Jersey routinely promotes programs and activities involving minors through various media. This includes, but is not limited to newsletters, social media, presentations, and displays. In doing so, the names and images of members may be included to help tell the story."
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How did you hear about the conference? *
Where is your school/organization located (city/town)? *
Is a member of your group presenting at the conference?
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If you are planning on parking a car on campus, please provide the email address where we can send the parking registration link. (Buses do not need to register and can park in the Yellow Lot on the Livingston Campus.)
Allergies/ Dietary Restrictions in your group
Is there any additional support or accommodations that will help each member of your group to fully participate? We will attempt to provide to the best of our ability. Please describe any needs or preferences:
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