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Office of Youth Safety - Registration Form for Programs, Events, and Camps Working with Minors

Questions marked with a * are required

General Program, Event, and Camp (PEC) Information

Please fill out the following information for the camp you wish to hold at James Madison University, which involves minors. Programs, Events, and Camps (PEC) which do not involve minors do not need to submit this form.

If you have questions or concerns please reach out to the Office of Youth Safety at **youthsafety@jmu.edu**

Will this Program, Event, or Camp (PEC) be attended by minors (defined as people under the age of 18 who are not registered JMU students)

Yes

Unsure at this Time

Name of Program, Event, and Camp (PEC)

Is this a:

Program

Event

Camp

Unsure

What is the Expected Age Group of Attendees

Approximately how many participants will be attending

Approximately how many staff will be working/volunteering

Website for the Program, Event, and Camp (PEC)

Program, Event, and Camp (PEC) Start Date

Program, Event, and Camp (PEC) End Date

Are you requesting a Program, Event, and Camp (PEC) that is reoccurring or with multiple occurrences or sessions on this form?

Yes