LOYOLA UNIVERSITY CHICAGO ATHLETIC OFFICE OF ...
LOYOLA UNIVERSITY CHICAGO ATHLETIC OFFICE OF COMPLIANCE FEE FOR LESSON
Student-Athlete Name:
Sport:
Lesson Recipient Name:
Form of Payment:
Please complete the following information for each lesson you conduct. A new form must be completed for each lesson recipient. Date of Lesson
Location
Length of Lesson
Fee Charged
Who Paid?
By signing below, the student-athlete, Loyola University and all others involved in the instruction certify that the following provisions found in NCAA 12.4.2.1 have been met:
Institutional facilities were not used; The instruction did not include any “playing lessons”; Payment for the lesson was made by the person receiving the lesson, or someone in the recipient’s family; Only individual instruction was given; and The student-athlete did not use his or her name, picture or appearance to promote or advertise the availability of fee-for-lesson instruction.
Signature of Student-Athlete:
Date:
Signature of Lesson Recipient:
Date:
Signature of Payer:
Date:
Signature of Office of Compliance:
Date:
Student-Athlete Name:
Sport:
Lesson Recipient Name:
Form of Payment:
Please complete the following information for each lesson you conduct. A new form must be completed for each lesson recipient. Date of Lesson
Location
Length of Lesson
Fee Charged
Who Paid?
By signing below, the student-athlete, Loyola University and all others involved in the instruction certify that the following provisions found in NCAA 12.4.2.1 have been met:
Institutional facilities were not used; The instruction did not include any “playing lessons”; Payment for the lesson was made by the person receiving the lesson, or someone in the recipient’s family; Only individual instruction was given; and The student-athlete did not use his or her name, picture or appearance to promote or advertise the availability of fee-for-lesson instruction.
Signature of Student-Athlete:
Date:
Signature of Lesson Recipient:
Date:
Signature of Payer:
Date:
Signature of Office of Compliance:
Date:
