TUTOR	TUTOR'S EMAIL		DATE
STUDENT-ATHLETE:			SCHEDULE START TIME:
			SCHEDULE END TIME:
SPORT: Select Sport Baseball Basketball-Men Basketball-Women Women's Crew Field Hockey Football Golf Gymnastics Lacrosse-Men Lacrosse-Women Soccer-Men Soccer-Women Softball Swimming and Diving Women's Tennis Men's Track and Field Women's Track and Field Volleyball Wrestling
COURSE:
GROUP SESSION?    Yes    No

Please check all the boxes that apply (elaborate in FEEDBACK / CONCERNS section):
	Cancelled by student	When were you notified?
	Cancelled by advisor	When were you notified?
	Other	Please explain:
Tutor Feedback / Concerns:

---