APPENDIX D

ATLANTIC 10 WOMEN’S BASKETBALL CHAMPIONSHIP CHEERLEADER PASS LIST

Individual Completing Form:

Administrator on Site: Cell Phone:

Mascot:

Coach:

Coach Cell Phone: Please return form to Jazmin Sherard via email ( jsherard@atlantic10.org) by Tuesday, February 21, 2023.

ATLANTIC 10 WOMEN’S BASKETBALL CHAMPIONSHIP MEDICAL PROVIDER LIST

Institution:

Individual Completing Form:

All participating institutions are required to include a certified athletic trainer, physician’s assistant (PA), team physician, or sports medicine professional as part of their official championship travel party.

Please enter below the names and information of other medical professionals you intend to bring to the championship. This list should include anyone who will provide medical coverage, including doctors, specialists, mental health professionals, etc. If the persons listed below are not on the official travel party list, they MUST have a ticket to enter CHASE Fieldhouse.

Must be returned to Jazmin Sherard via email ( jsherard@atlantic10.org) by Tuesday, February 21, 2023.