Programs Involving Minors Notification Form

Program/Activity Title

Program/Activity Leader's Name

Email

Phone

Sponsoring Department

Description of Program/Activity

Date(s) of Program/Activity

Length of Program/Activity

Location of Program/Activity

Approximate # of Minor Participants

Approximate age range of Minor Participants

Academic discipline(s) and/or majors at UK that relate to the learning experience

Is the program part of a grant or a department sponsored program?

Yes

No

Will you be transporting the minors in a motor vehicle?

Yes

No

Please provide the name of the grant

Program’s Website URL where the event or learning experience is described overall (if applicable).

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