ODUMUNC Delegate List

Fill out this form to ensure your school's name badges are ready at registration.

Faculty Sponsors School
Faculty Name Faculty Name First Last
Faculty Sponsors Email
Faculty Sponsors Emergency Telephone Faculty Sponsors Emergency Telephone - ### - ### ####
Delegates School
Delegates Name Delegates Name First Last
Delegates Email
Delegates Committee Assignment
Delegates Country/Crisis Character
I certify our school has medical certificates on file for all delegates named below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.