western kentucky university athletics compliance office

Print Form

WESTERN KENTUCKY UNIVERSITY

ATHLETICS COMPLIANCE OFFICE TRAVEL ROSTER

EVENT INFORMATION SPORT:_____________________________

OPPONENT(S)/EVENT(S):______________________________

DATE(S)OF COMPETITION:____________

TIME(S)OF COMPETITION:______________

LOCATION(S):________________________________________________________________________ TRAVEL INFORMATION DEPARTURE FROM CAMPUS DATE/TIME:__________________

RETURN TO CAMPUS DATE/TIME:________________

METHOD OF TRANSPORTATION: AIR--AIRLINE (S):_________________________________________________ FLIGHT DEPARTURE DATE/TIME : _____________ FLIGHT RETURN DATE/TIME:______________ FLIGHT NUMBER(S):__________________________________________________________ GROUND UNIVERSITY VEHICLE BUS (LINE):_______________________ OTHER (PLEASE SPECIFY):_______________________________________ LODGING (HOTEL NAME AND PHONE NUMBER):_________________________________________________________

TRAVEL PARTY INFORMATION STUDENT -ATHLETES: ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________

COACHING STAFF: ___________________ ___________________ ___________________ ___________________

_____________________ _____________________ _____________________ _____________________

MANAGERS/TRAINERS: ___________________ ___________________ ___________________ ___________________

_____________________ _____________________ _____________________ _____________________

SUPPORT STAFF/GUESTS: ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________

___________________________________________

_____________________

HEAD COACH’S SIGNATURE

D ATE

*PLEASE ATTACH AN ITINERARY OR ADDITIONAL TRAVEL PARTY ROSTER IF NEEDED * SUBMIT TO COMPLIANCE OFFICE 48 H OURS PRIOR TO DEPARTURE