Team/Group– Clery Act Travel Reporting

Coaches and Advisors,

Please fill out separate forms for each location you stay on a team/group trip.

If you experience any criminal or emergency activity while on your trip please report it immediately to UJ Campus Safety at (701) 659-0032 as well as to the Dean of Engagement and Student Affairs, Provost and/or Athletic Director.
Program Name*
Coach/Advisor(traveling with team/group)*
Checkin Date*
MM slash DD slash YYYY
Checkout Date*
MM slash DD slash YYYY
Hotel Name*
Hotel Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hotel Room Numbers (for all team/group members)*
Are you aware of any criminal or emergency activity that happened in/around the facility between the time of your arrival and departure (if so, please describe)*
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ATHLETIC DEPARTMENT TRIP INFORMATION
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Hotel Cost
Hidden
Meal Cost
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Transportation Cost

ATHLETIC DEPARTMENT TRIP INFORMATION