School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Advisor Name *

First Name

Last Name

Advisor Phone Number

(###)

###

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Secondary Contact Name *

First Name

Last Name

Secondary Contact Phone Number

(###)

###

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Background Check Acknowledgement

To ensure the safety of all participants, each in-person delegation must have at least one advisor or guardian present on conference day who has successfully completed a background check. If an advisor or guardian completed a background check for AmeriMUNC XII, they do not need to complete a new one. However, any new advisors or guardians are required to complete the background check form and submit it to info@amerimunc.com. Please ensure that all highlighted sections of the attached form are fully completed before submission. Thank you for helping us maintain a safe and secure conference environment.

I understand the Background Form and will complete prior to the date of the conference.

Terms and Conditions *

Link to terms and conditions: https://docs.google.com/document/d/1nMOXI0V5jjnf9WiZrW2QqKdIjcqRlHPiUruV9fh-q8w/edit?usp=sharing Please read all terms and conditions and then check the box below to certify.

I have read the terms and conditions above and agree to them.