Club Sports Travel Request Form

This form must be filled out, submitted and approved at least 1 week prior to the departure date of every trip taken by a Sport Club. Please submit it to the Club Sports Office within the Department of Campus Recreation.

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Club Name:

Tournament/Opponent(s):

Destination (City/State):

NOTE: The designated Trip Coordinator can be any member of the club and does not have to be the same member for each trip. However, the Trip Coordinator must set up a meeting with their designated Club Sports Supervisor before the travel request can be approved.

Trip Coordinator (Last name, First name):

Phone:

Enter a valid phone number. Example: 123-456-7890

Email:

Enter a valid email address. Example: name@company.com

NOTE: For travel out-of-state or to another country, Travel Request Form must be submitted and approved by the Club Sports Director prior to any travel/lodging arrangements being made.

Departure Date/Time:

Return Date/Time:

Method of Transportation:

If Rental/Bus/Airlines/Combination/Other (Please Specify):

Names of All Club Members Driving (including coaches, if applicable). If no members drive, answer "NONE": **Please separate names with a comma.**

Club Safety Officer(s) Attending:

Emergency Contact at Site:

Emergency Contact Phone:

Enter a valid phone number. Example: 123-456-7890

Lodging Arrangements:

If Personal Residence/Hotel/Combination/Other (Please Specify):

Number of People Traveling:

Names of All Club Members Traveling (including coaches, if applicable): **Please separate names with a comma.**

List Names of All Club Members Deviating from Trip Plans (including coaches, if applicable) and Why: **Example: Staying over with parents and coming back separately**

Submitted By (Last Name, First Name):

Phone:

Enter a valid phone number. Example: 123-456-7890

Email:

Enter a valid email address. Example: name@company.com

All Club Members practicing, competing, and traveling with a Loyola Marymount University Sport Club must have an Assumption of Risk Agreement and have signed the liability waiver. Participants further certify that he/she will not consume alcohol or drugs prior to, during and after participation. Also, the consumption of alcohol and/or drugs while traveling to or from an activity is not permitted.

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Club Sports Travel Request Form