Lacrosse Financial Statement
Event Information
Host School
*
Event Manager Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
example@example.com
Gender
*
Please Select
Boys
Girls
Level
*
Please Select
Regional
Sectional
Winner
*
Opponent
*
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Receipts
Ticket Price
$6 Student/Adult Tickets Sold
*
$6 Student/Adult Tickets Revenue
$7 Student/Adult Tickets Sold
*
$7 Student/Adult Tickets Revenue
$1 Children under 6 Tickets Sold
$1 Children under 6 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 Allowance
Includes manager fee of $70
Referee
*
Referee Fee
Assistant Referee
*
Assistant Referee #1
Assistant Referee
*
Assistant Referee #2
Total Officials Fees
Did officials ride together?
*
Please Select
Yes
No
Number of drivers
*
Please Select
2
3
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 expenses from total receipts.
Host School Share
45% of Balance for Distribution
Payment to WIAA
55% of Balance for Distribution. Please send a check or ACH payment to WIAA net 30 days.
Event Deficit - WIAA will issue Payment to Host School only if admission was charged
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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