EmailMe Form - 2026/2027 Mansfield Club & Organization Travel

Club/Organization/Dept:

Trip Contact Person: *

Trip Contact Phone #: *

### - ### - ####

Trip Destination: *

Number of People Traveling: *

*Waivers MUST be submitted prior to trip*

Departure Date

MM / DD / YYYY

Return Date

MM / DD / YYYY

Purpose of Travel: *

Name of Trip, Competition, Meeting, Community Service, Conference or Other: *

Funding Source(s): *

Budget

NonFee

Other

Transportation & Vehicle Information: Please indicate all method(s) of travel: *

Bus/Motor Coach

Airline

Personal Vehicle

Rental

*If renting a vehicle, group must purchase all additional insurance coverage available as well as present to confirmation to CCSI.

Driver Information: *

List all drivers for personal and/or rental vehicles.

Attach Participant List *

President Signature: *

Please type your name in the space provided, click save & resume, copy the emailmeform link provided in the data window and email to the Treasurer.

Treasurer Signature: *

Please type your name in the space provided, click save & resume, copy the emailmeform link provided in the data window and email to the Advisor:

Advisor Signature: *

Please type your name in the space provided, click SUBMIT.