Non-University Program Registration Form

Will the Non-University Program accept custody and control of the minor participants as defined below? *

Definition of Custody and Control: Accepting supervision over and responsibility for minors in the absence of their parents or other legal guardians. If no form of contract, waiver, or written assumption of supervision is entered into with a minor’s legal guardian, there is a presumption that the University Program has not assumed custody and control over a minor.

Yes
No

Name of Non-University Program *

Program Director Name *

First Last

Program Director or Organizer Phone Number *

Program Director or Organizer Email Address *

Program Contact

Please provide information for the program's primary contact or person we may contact with questions, if different from the Director.

First Last

Program Contact Phone Number

Program Contact Email Address

Please provide an in-depth description of your Non-University Program/Event. *

Program website, if any:

Name of Boise State University Contact *

Phone Number of Boise State University Contact *

Email of Boise State University Contact *

Approximate number of minor participants: *

Age range of minor participants: *

Date(s) of Non-University Program *

What time will the program end operations?

:

AM/PM

What time will the program begin operations?

:

AM/PM

Location(s) of Non-University Program *

Please list the areas on campus where the Non-University Program or activity will be held.

Will the Minor Participants be Staying Overnight on Campus? *

Yes
No
Some Yes, Some No

Which Housing Units will Minor Participants be Staying in (Check all that Apply)? *

Will the University be providing transportation to minors? *

Yes
No

If transporting minors, please indicate the need for transportation and method of travel. *

Is there a cost to minor children/families for this program/event? *

Please provide a description of the specific procedures you will have in place to ensure the safety of minors (e.g., How will the minors be dropped off and picked up from the University Program? Will there be a monitored check-in and check-out process? Will at least two adults be present at all times?).

The Minors on Campus website provides best practices on safety measures you can implement to prevent minor abuse or inappropriate behavior. The Minors on Campus website is located: https://www.boisestate.edu/compliance/minors-on-campus/

Emergency Contact Name *

Please indicate the appropriate person to contact in case of emergency.

First Last

Emergency Contact Phone *

Emergency Contact Email *

Is there anything else the Office of Institutional Compliance and Ethics should know about the program/event?

Attestations *

Under Boise State University Policy 12060 (Protection of Minors), non-University programs that accept custody and control of the minor participants must ensure their employees, volunteers, and representatives undergo a criminal history background check, minor abuse prevention training, and agree to have a standard of conduct in place designed to prevent the abuse of minors.

Please review the following policies and complete the following attestations:

University Policy 12060 (Protection of Minors)
University Policy 7005 (Background Verifications)

I certify I understand that as a non-University program, all employees, volunteers, and representatives working with the minor participants must have completed a criminal history background check that is at least as stringent as those conducted by the University under Boise State University Policy 7005 (Background Verifications).
I certify I understand that that as a non-University program, all employees, volunteers, and representatives working with the minor participants must have completed a minor abuse prevention training that meets or exceeds the minimum requirements outlined in Section 7.4 in Boise State University Policy 12060 (Protection of Minors).
I certify I understand that that as a non-University program, I must have standards of conduct in place designed to prevent the abuse of minors outlined in Section 8.e. in Boise State University Policy 12060 (Protection of Minors).
I certify I understand that that as a non-University program, the University may request documentation necessary to verify that I have met the above requirements for up to one year following the last day of the event. I understand if I fail to provide any requested documentation necessary to verify this compliance, future programs may be canceled or not allowed to use Boise State University property and facilities.
I certify I understand the following administrative fee structure to help ensure appropriate staffing for the Minors on Campus program and to maintain compliance with University policies: $5 per registrant for all day-use only programs, regardless of registration fee; $10 per registrant for all overnight programs.