CELEBRATE UTSA!
All Different. All Roadrunners.
REGISTRATION FORM
To register, turn in this completed form to the Office of Student Activities (UC 1.02.08)
desk in the University Center at the 1604 Campus, the Office of Student Activities (DB
1.302) at the Downtown Campus, or e-mail the form to: getinvolved@utsa.edu by Monday,
October 17t, 2005.
TIME SENSITIVE DEADLINE FOR REGISTRATION: OCTOBER 17, 2005
Event is November 17, 2005
Name of Individual, Group or Organization:
Contact Name:
Contact E-Mail:
Contact Cell Phone:
Circle One:
Table
 Talent
 Both
(1 Table, 2 Chairs Provided)
Logistical Needs:
We will attempt to accommodate your request, but we must ask that you have
flexibility.
**If planning a talent, please briefly explain type of performance below. This will be used to identify
your presentation during the introductions of the event. To accommodate the number of
anticipated acts, we ask each group to limit performances to no more than five (5) minutes.
Please contact Antonio Mills at 210.373.2287 or ammills@lonestar.utsa.edu or Barry McKinney at 210.458.4160 or
barry.mckinney@utsa.edu for additional information or questions.