Cal State Fullerton
CAMP PERSONNEL FORM

		     
Camp Name

	Dates      	  Location       	

Camp Personnel
Name	Camp Position	Status
(i.e. student-athlete, HS coach etc.)	Prior Approval
If Student-Athlete
prior approval received from Director of Athletics	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	
     	     	     	 Yes  No	

			
	Camp Director’s Signature			Date