PRIVATE LESSON AUTHORIZATION FORM

Sport: ___________________________

Projected Months, Days of the Week and Times:
____________________________________________________________________________________________________________________________________________                             
      
Facilities to be utilized:____________________________________________________
                                    ____________________________________________________
                                
Equipment to be utilized:      _______________________________________________
                                             _______________________________________________
                                             _______________________________________________

Instructor	Status
(admin. assist. etc.)	Email Address	Phone	Background
Check Complete	

					

					

					
					
•	Remember, NCAA Bylaw 12.4.2.1(a) prohibits current student-athletes from using Cal State Fullerton facilities to teach private lessons.

Head Coach Signature:                    ___________________________________

Compliance Approval Signature:      ___________________________________

Facilities Approval Signature:           ___________________________________                

Sr. Associate AD/SWA Signature     ___________________________________

Cc: Facilities, Resource Manager, Business