Black Leadership Institute Registration 2018

Date: Saturday, February 10, 2018
Time: 8 A.M. - 4:30 P.M.
Location Update: BLI will now be held in UC second floor.

**Deadline to Register is Tue. February 6th.

WARNING: Please use Internet Explorer or Mozilla Firefox on this form! Forms are not currently compatible with Google Chrome or iPads.

Name *
Mavs email *
1000# *
Shirt size *
Current Standing *
Please select your box lunch sandwich choice *

Please select your box lunch sandwich choice Turkey & Swiss Cheese Ham & Swiss Cheese Roast Beef & Cheddar Grilled Veggie Wrap (dairy free) Hearty Garden Salad (gluten free & dairy free)
Do you have any food allergies or special dietary needs (e.g. vegan, vegetarian, no pork, no cheese on sandwich, etc) *
Cancellation Policy
I understand that by registering for Black leadership Institute, I am committing to participating in the event. Deadline to notify us of a cancellation is Friday, Feb 9th.

Only email or written cancellations submitted to martinezlc@uta.edu will be accepted by the deadline. I understand if I fail to notify the office by the deadline and do not attend, I will incur a $50 charge from Multicultural Affairs. No exceptions! This charge must be paid no later than Friday,Feb 23rd. Any students who incur penalty fee and fail to pay by Feb 23rd will be referred to Office of Community Standards and a hold will be placed on your MyMav account. *

Cancellation Policy
I understand that by registering for Black leadership Institute, I am committing to participating in the event. Deadline to notify us of a cancellation is Friday, Feb 9th.

Only email or written cancellations submitted to martinezlc@uta.edu will be accepted by the deadline. I understand if I fail to notify the office by the deadline and do not attend, I will incur a $50 charge from Multicultural Affairs. No exceptions! This charge must be paid no later than Friday,Feb 23rd. Any students who incur penalty fee and fail to pay by Feb 23rd will be referred to Office of Community Standards and a hold will be placed on your MyMav account. I agree to the agreement & cancellation policy outlined above.