Honors Welcome Program RSVP

General Information

Name *

First Last

Preferred Name

Student ID Number *

Phone number at which you can be reached during the Welcome Program *

Student email address *

Please let us know your Broncomail address. All our communications will be sent to your student email.

Enter Email Confirm Email

Emergency Contact Name *

Your personal information will remain confidential.

First Last

Emergency Contact Phone Number *

Emergency Contact 2 *

Your personal information will remain confidential.

First Last

Emergency Contact Phone Number 2 *

Health Information & Activity Waiver

Do you have any dietary restrictions? *

Yes

Please describe any dietary restrictions *

Do you have any allergies we should know about? *

Yes

Please describe your allergies *

Do you carry epinephrine with you? *

Yes

N/A

Is there anything else we should know about that could impact you during the Welcome Program? *

Yes

Please describe your situation *

Participant Signature *

If over 18 years old, please sign your name here. Consent is hereby given to attend a Boise State University activity. Permission is given for any emergency anesthesia, operation, hospitalization, or other treatment that might become necessary. I acknowledge any dangers associated with these activities and voluntarily assume all risks associated with participation. Neither Boise State University, the State Board of Education, nor the state of Idaho shall be responsible or in any way liable for any loss, damage, injury or death occurring in connection with these activities.

Are you under 18 years old? *

Yes

Parent or legal guardian signature *

If under 18 years old, please have parent sign their name here. Consent is hereby given for the student to attend a Boise State University activity. Permission is given for any emergency anesthesia, operation, hospitalization, or other treatment that might become necessary. They acknowledge any dangers associated with these activities and voluntarily assume all risks associated with participation. Neither Boise State University, the State Board of Education, nor the state of Idaho shall be responsible or in any way liable for any loss, damage, injury or death occurring in connection with these activities.

Welcome Program Confirmation

T-shirt size *

A size chart can be viewed at: https://www.nextlevelapparel.com/mens-cvc-crew-4295.html#

Photo/Video Acknowledgement *

I give my permission to Boise State University to use any photographs or video recordings taken of me during Honors activities. These may be used for various purposes including (but not limited to) on our website, in brochures, and other outreach materials. I understand that I will not be paid for these photographs and/or video footage and have no rights to them.

I agree

Attendance Confirmation *

Please sign here. By signing, you confirm that you understand the Honors Welcome Program is a mandatory and graded part of HONORS 198 and that you will attend the entire Welcome Program. Failure to attend the full program (without receiving prior permission) might result in failure of HONORS 198 and dismissal from the Honors College.

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.