Cross Country Financial Statement

Expenses
Host School Allowance (includes $1,000 timing company expense)
Official #1 Name*
Official # 1 WIAA Officials Number*
Official #1 Fee
Official #2 Name*
Official # 2 WIAA Officials Number*
Official #2 Fee
Total Officials Fees
Officials will be paid 55¢ per mile (round trip) for travel. Officials shall travel together when geographically feasible with mileage paid to one official. If officials choose to travel separately, the mileage for the longest trip may be split between the officials.

Officials Mileage

	Mileage paid to be added to total payment
Official #1
Official #2

Balance for Reimbursement from WIAA
Total Reimbursement to School
Manager Fee
Payment to host school and manager will be mailed to the host school the first week of December.
Finance or Accounts Receivable Email
example@example.com

Please fill in the information below for WIAA information purposes only (not included in reimbursement payment).
Total Attendance (if no admission charged, list zero)

Event Income

Event Expenses

	Total Amount
Course Rental
Timing Company
Medical Coverage
Port-a-Potties Rental
Supplies (course paint, flags)
Labor
Security/Police
Miscellaneous - please explain below

Event Information