Third-Party Youth Program Registration Form

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If you are the individual from a third-party organization coordinating a program that will occur on RIT's campus or property and will include unaccompanied minors (under age 18), please use this form to submit the youth program or activity plans to the Office of Youth Protection and Compliance. You may respond with N/A as necessary.

Your name *

Your title/position for this program *

Your email address *

Name of the organization sponsoring the program *

Name of program, event, or activity *

Is there a website for this program? If so, please provide it here. *

Program date(s) *

Program time(s) *

Description of this youth program/event/activity *

Please provide the location(s). (Specific buildings and rooms to be utilized.) *

Will this program include overnights in campus housing? *

Yes

Estimated number of participants *

Minimum age of participants *

Maximum age of participants *

Is this program open to the public, or must participants register for it? *

Open to the public

Participants must register

Will every participant be accompanied by their own parent/guardian at all times during this program? *

Yes

If participants will not be accompanied by their own parent/guardian, will participants be accompanied by a chaperone such as a teacher, club leader, or coach (other than event staff)? *

Yes

Will there be adults (18 years and older) who are not serving as program staff, volunteers, or chaperones but will be participating in the program as guests of the minor participants? *

Yes

Maybe

Will the organization be able to provide a Certificate of Liability Insurance that meets RIT's requirements for abuse/molestation coverage ? (If you have questions about this, please contact your RIT Special Events contact.) *

Yes

Have you reviewed RIT's C26.0 Protection of Minors Policy? (https://www.rit.edu/academicaffairs/policiesmanual/c260) *

Yes

Will your organization be able to satisfy the requirements included in the policy, attest to compliance with the policy prior to the start of the program, and provide evidence of compliance for review upon request by RIT? *

Yes

Not sure

Is there anything else specific to this program that is important to know but is not addressed above? If so, please describe.

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