Independent Contractor Agreement For Athletic Related Services Form Page 2
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1
2EXHIBIT A
agrees to pay
(Name of Sports Camp)
(Contractor Name)
for services rendered during the period of
in an amount not
(Date Range)
to exceed
.
(Amount)
Credentials for Working Camp – Circle One
Bus Driver
Coach - High School Coach
Referee/Official
Clerical Student Worker
Coach - LSU Coach
Student Athlete
Clerical/Administration
Concession Worker
Trainer
Coach - 2 Year Institution Coach
Graduate Assistant
Other (Please Specify)___________________
Coach - 4 Year Institution Coach
LSU NonCoaching Staff
Coach - Club Coach
Manager
RULES REGARDING EMPLOYMENT OF CAMP WORKERS
LSU COMPLIANCE
* NCAA Bylaw 13.12 governs sports camps/clinics. As a camp worker you are subject to adhering to all
NCAA and SEC regulations. Please read the following statements carefully and certify your
understanding by printing and signing your name below.
Name of Camp Worker:
SSN of Camp Worker:
Address:
City, State & Zip:
Sport:
Date(s) of camp/clinic:
1. NCAA regulations prohibit the employment of high school athletic award winners in institutional sports
camps.
2. NCAA regulations prohibit the employment of Junior college student-athletes in an institutional sports
camp.
3. Prospective student-athletes who have signed a NLI may not work sports camps/clinics.
4. Current Student-athletes may work camp/clinics with prior approval of Athletic Director.
5. All camp workers must be credentialed and qualified to work camp/clinics.
6. Camp workers are responsible for the safety and well being of all campers.
7. Camp workers cannot have any felony arrests.
8. Camp workers cannot have any previous arrests and/or legal incidents resulting in endangerment of a
juvenile, child pornography or any improper sexual activity with a juvenile.
9. Camp workers cannot transport prospects and/or provide complimentary camp gear to prospective
student-athletes.
I signature below indicates my understanding of the expectations of serving as a camp counselor and my
intent to comply with the stipulations listed above. I understand that I am responsible for alerting the camp
director of any prior arrests and/or legal issues.
Printed Name of Camp Worker
Date
Signature of Camp Worker
Date
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