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. The form is located at the bottom of this page. 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 *

Please read all terms and conditions and at the bottom of the form and then check the box below to certify.

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