OUTSIDE ACTIVITY APPROVAL FORM

Sport: _______________________________________

Date and time of proposed activity: _________________________________________________

Describe the activity or event. Include the name(s) of all organizations and businesses that will be involved and provide specific, complete information: ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Names of coaches who will participate and what each will be doing:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Names of student-athletes who will participate and what they will be doing:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Will any media be present at the event (e.g. radio, newspaper, tv)? _____ Yes _____ No

If yes, provide specific information regarding the media’s involvement:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Will prospects be attending the event? _____ Yes ______ No

This form must be submitted to the Compliance Coordinator at least two weeks prior to the date of the event. The event or activity is not approved until the Compliance Coordinator and sport administrator has reviewed and signed this form. Once the event is approved, the form will be forwarded to the head coach.

___________________________________________ ______________________

Coach’s Signature Date

***********************************************************************

Approved:

___________________________________________ ______________________

Compliance Coordinator Date

___________________________________________ ______________________

Sport Administrator Date