Appearance Request Form

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Requester Contact Information

Organization Info

Organization Event Details

UB Coaches will not be able to speak at or participate in any type of high school, prep school, or athletic team fundraising activity.

If no event sponsor/underwriter, please write N/A

Appearance Details

Requesting *
Athlete/Representative(s) requested (in order of preference)
Dress Code
Please include start time and appearance end time. Standard appearance time limited to ONE hour in length
Are funds being raised at this event? If yes, what organization entity will receive them?
Will the representative's name, picture, personal appearance or involvement be used in any advertising or promotion of the activity? If yes, please describe.
Please include any benefits to be provided to the representative (i.e. transportation, meals, hotel, airfare, etc.)
Please note that although the athletic director, coaches and other athletic staff don't personally accept speaking fees, contribution to UB Athletics Blue and White Fund are welcome and always apprecieated.
*If yes, please list the name of the UB Athletics staff member.
* required field