Community Appearance Request Form

Thank you for interest in an appearance by a Louisville student-athlete or coach. The University of Louisville Athletic Department is proud to be a part of the Louisville community and will carefully consider each request. Please note that, throughout the year, we receive numerous requests for student-athlete and coach appearances and strive to balance the appearances with their availability, practice, games, class, and personal time. All appearances are subject to NCAA compliance approval.

Appearance requests must be submitted 30 days prior to the event date. Appearances also are restricted to a 30-mile radius of U of L.

Once you submit the information, our Community Relations Assistant will contact you.

Today's Date:

Team/ Coach Requested:

Requestor Information

Requestor's Name:

Email Address:

Telephone Number:

Fax Number:

Agency Information

Name of Agency:

Agency Address:

Agency Website:

Your Organization is: (check one)

Event Information

Activity Title:

Date of Activity:

Time of Activity:

Description/Purpose of Activity:

Address of Activity:

Expenses to be provided: (Check all that apply)
Overnight Lodging
Mileage Total Miles: Other Expenses Please List:

Additional Questions

Are funds being raised at the event? Yes No

If Yes, how will the funds be used?

Will any other agency aside from the requesting agency receive money from this appearance? Yes No

If Yes, explain:

Will the appearance benefit individuals in grades 9 through 12? Yes No

Will student-athlete(s)/ coach appearance include any athletic participation? Yes No

If Yes, explain:

Will there be any outside organizations involved in this event? Yes No

If Yes, explain:

Will there be any advertisement or promotion of this event? Yes No

Will any promotional items bearing the name or pictures of student-athlete(s) coach be used? Yes No

Applicable NCAA Legislation Institutional, Charitable, Education or Nonprofit Promotions

A member institution or recognized entity thereof (e.g., fraternity, sorority, or student government organization), a member conference or a non- institutional charitable, education or nonprofit agency may use a student-athlete's name, picture or appearance to support its charitable or educational activities or to support activities considered incidental to the student- athlete's participation in intercollegiate athletics, provided the following conditions are met:

(a) The student-athlete receives written approval to participate from the director of athletics for his or her designee who may not be a coaching staff member). Subject to the limitations on participants in such activities as set forth in Bylaw 17;

(b) The specific activity or project in which the student-athlete participates does not include co-sponsorship, advertisement or promotion by a commercial agency other than through the reproduction of the sponsoring company's officially registered regular trademark or logo on printed materials such as pictures, posters, or calendars. The company's emblem, name, address, and telephone number may not be included with the trademark or logo. Personal names, messages and slogans (other than an officially registered trademark) are prohibited;

(c) The name or picture of a student-athlete with remaining eligibility may not appear on an institution's printed promotional item (e.g., poster, calendar) that includes a reproduction of a product with a commercial entity is associated if the commercial entity's officially registered regulated trademark or logo also appears on the item;

(d) The student- athlete does not miss class;

(e) All money derived from the activity or project go directly to the member institution, member conference of the charitable, education or nonprofit agency;

(f) The student-athlete may accept actual and necessary expenses from the member institution, member conference of the charitable, education or nonprofit agency;

(g) The student-athlete may accept actual and necessary expenses from the member institution, member conference or the chartable, education or nonprofit agency related to participation in such activity;

(h) The student-athlete's name, picture or appearance is not utilized to promote the commercial ventures of any nonprofit agency;

(i) Any commercial items with names, likenesses or pictures of multiple student-athletes (other than highlight films or media guides per Bylaw may be sold only at the member institution at which the student-athlete is enrolled, institutionally controlled (owned and operated) outlets controlled by the charitable or educational organization (e.g., location of the charitable or educational, site of charitable event during the event). Items that include an individual student-athlete's name, picture or likeness (e.g., name on jersey, name or likeness on a bobble-head doll), other than informational items (e.g., media guide, schedule cards, institutional publications), may not be sold; and

(j) The student-athlete and an authorized representative of the charitable, educational or nonprofit agency sign a release statement ensuring that the student-athletes name, image or appearance is used in a manner consistent with the requirements of this section.

Authorized Representative Approval

I certify that the above name student-athletes name, image, and/or appearance will be used in a manner conforming to NCAA Bylaw listed above.

Initials of Authorized Representative


Name of Authorized Representative (please print)