Travel Registration & Request Form

All participants must fill out the Emergency Information & Liability Release form individually.

Basic Information

Group / Team Name *

Contact Person *

Mobile Phone *

Alternative Phone

Group / Team Position *

Number of Students Attending *

Number of Trip Monitors Attending *

Method of Paying for Trip *

Travel Information

Traveling From *

Traveling To *

Travel Mileage to Destination *

Date & Time of Departure *

Date

Time

Date & Time of Return *

Date

Time

Purpose of Travel *

How will this trip be a benefit for the community? *

Transportation Information

All authorized drivers must have a completed, approved Motor Vehicle Report on file with Drury University Financial Services office for the current Academic Year.

Transportation Type

Authorized Driver *

Drury ID Number *

Authorized Driver

Drury ID Number

Authorized Driver

Drury ID Number

Authorized Driver

Drury ID Number

Authorized Driver

Drury ID Number

Authorized Driver

Drury ID Number

Our group will be staying overnight: *

Lodging Information

Enter N/A in the fields for this section if you will not be staying overnight.

Lodging Type *

Lodging Name *

Lodging Address *

Lodging City *

Lodging State and Zip Code *

Lodging Phone Number *

Student Organization/Campus Advisor Confirmation:

Student Leader Name *

Student Leader Drury ID Number *

Campus Advisor Name

Campus Advisor Drury ID Number

Attach travel roster of all participants. Must include:

1. Name of participant
2. Drury ID of participant
3. Student/Employee distinction
4. Phone where participant can be reached at time of trip
5. Emergency Contact/Relationship to participant
6. Emergency contact phone number

A blank travel roster can be downloaded at https://www.drury.edu/wp-content/uploads/files/life_at_drury/travel_participants.xlsx

Travel Roster *

Click or drag a file to this area to upload.

Attach detailed itinerary of travel plans. Should include:

1. Trip routes
2. Hotel reservation and cost information
3. Airline or car rental reservation information from vendor
4. Conference / workshop / event program or tournament schedule
5. Any additional activities or variances from conference / workshop / event program or tournament schedule

Travel Itinerary *

Click or drag a file to this area to upload.