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ES&S (Exer Sports and Schools)
Make sure all requests are pre-approved by your ROD and this form is completed in its entirety before submitting.
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* Indicates required question
Exer Employee's Name:
*
Your answer
Requester's Name:
*
Your answer
Requester's Email Address:
*
Your answer
Clinic Location(s):
*
Your answer
Participating School's Name:
*
Your answer
School Phone Number:
*
Your answer
School Email Address:
*
Your answer
Has this school participated in ES&S before?:
*
Yes
No
Other:
How many athletes will participate?:
*
Your answer
Event Request Date:
MM
/
DD
/
YYYY
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