ParticipantsProgramList.xlsx

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6		Program Name: _______________________________________________							Youth Protection Program
7		Program Start Date: ____________ Program End Date: ____________
8		Program Supervisor: _____________________________							Participant Program List
9		Note: For overnight stays ONE minor child will be assigned per bed
10		Last Name	First Name	M.I	DOB	Age	Gender	Home address	Contact Number	Emegency Contact Name	Emegency Contact Phone	Reg form?	Release of Liability?	Code of Expctns?	Participant Handbook?	Parent Handbook?	Med Consent Auth?	Overnight	Building Name	Floor	Room #	Chaperone Name	Auth Visitor?
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82		Copy to:
83		Youth Protection Officer/EHSRM
84		Campus Health Center
85		University Police Department
86		Residential Life
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