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Voluntary Activity Request – Strength Coach Observing Workout
Student-Athlete Name
*
First
Last
Student-Athlete's Email Address:
Sport
*
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Student-Athlete Phone Number:
*
Location of Activity:
*
Street Address
City
Alabama
Alaska
American Samoa
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Arkansas
California
Colorado
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Delaware
District of Columbia
Florida
Georgia
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Northern Mariana Islands
Ohio
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Puerto Rico
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South Carolina
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U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Date of the First Requested Workout:
*
MM slash DD slash YYYY
NCAA Guidelines:
Beginning June 1st, it is permissible for a strength and conditioning coach to VIRTUALLY OBSERVE a student-athlete’s voluntary (physical) workouts for health and safety purposes (e.g., proper form, technique) and have discussions with the student-athlete related to such workouts, provided the student-athlete initiates the request for the observation and/or discussion.
Initiating this Request (please confirm):
*
I am initiating this request voluntarily.
Voluntary Activity (please confirm):
*
I understand that this is a voluntary activity that cannot be required by coaches or strength and conditioning staff.
Reporting Back (please confirm):
*
I understand that it is impermissible for me or the strength coach to report information about these activities back to a coach or sport staff member.
Strength and Conditioning's Role (please confirm):
*
I understand that the strength coach may observe the workout and discuss the workout with me. The strength coach MAY NOT CONDUCT the workout.
Acknowledgement:
I understand the guidelines above and have had the opportunity to ask questions.
Signature
Δ
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