Swim & Dive Financial Statement
One form submitted for both diving and swimming events.
Event Information
Host School
*
Event Manager Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Gender
*
Please Select
Boys
Girls
Division
*
Please Select
1
2
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Receipts
Ticket Price
$7 Student/Adult Tickets Sold
*
$7 Student/Adult Tickets Revenue
Number of Radio Transmissions
Must have completed tournament audio transmission request form on WIAA website.
Radio Transmission Fee Revenue
$50 per radio station
Radio Station(s) Call Numbers
*
Number of Video Transmissions
Must have completed tournament video transmission request form on WIAA website.
Video Transmission Fee
Fees should be submitted to the NFHS Network within three (3) weeks following the respective game being transmitted
Video Transmission Company(s)
*
Total Receipts
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Expenses
Host School Share
Includes event manager fee of $130 and $100 lifeguard fee included
Official #1 Name
*
Official #1 Fee
Please Select
$125
$85
$55
$40
Official #2 Name
*
Official #2 Fee
Please Select
$125
$85
$55
Official #3 Name
*
Official #3 Fee
Please Select
$125
$85
$55
$40
Official #4 Name
*
Official #4 Fee
Please Select
$125
$85
$55
Official #5 Name
Official #5 Fee
Please Select
$125
$85
$55
$40
Total Officials Fees
Did officials ride together?
*
Please Select
Yes
No
Number of drivers
*
Please Select
2
3
4
5
Total miles for driver or longest trip
*
Total mileage paid
Mileage rate for officials
Total Officials Expense
Total Expenses
Total of host school share & officials expenses
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Balance for Distribution
Deduct total expenses from total receipts
Total Receipts
Total Expenses
Total of host school share & officials expenses
Balance for Distribution
Deduct total disbursements from total receipts.
HIDDEN Host School Share
45% of Balance of Distribution
Host School Share
45% of Balance of Distribution
HIDDEN Payment to WIAA
55% of Balance for Distribution. Please send a check or ACH payment to WIAA net 30 days.
Payment to WIAA
55% of Balance for Distribution. Please send a check or ACH payment to WIAA net 30 days.
HIDDEN Event Deficit - WIAA Payment to Host School
WIAA will send check for deficit at the end of the tournament series.
Event Deficit - WIAA Payment to Host School
WIAA will send check for deficit at the end of the tournament series.
Finance or Accounts Payable Email
*
example@example.com
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Should be Empty: