Swimming and Diving Financial Statement

Swimming and Diving Financial Statement

One form submitted for both diving and swimming events.
Event Information
Host School
Event Manager Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Gender
Division

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

Expenses
Host School Allowance
Includes event manager fee of $150 and $110 lifeguard fee included
Official #1 Name
Official #1 WIAA Officials Number
Official # 1 Fee
Official #2 Name
Official #2 WIAA Officials Number
Official # 2 Fee
Official #3 Name
Official #3 WIAA Officials Number
Official # 3 Fee
Official #4 Name
Official #4 WIAA Officials Number
Official # 4 Fee
Official #5 Name
Official #5 WIAA Officials Number
Official # 5 Fee
Official #6 Name
Official #6 WIAA Officials Number
Official # 6 Fee
Total Officials Fees
Officials shall travel together when practical. Officials will be paid 55¢ per mile (round trip) for travel.

Officials Mileage

Rows	Mileage pad to be added to total payment
Official #1
Official #2
Official #3
Official #4
Official #5
Official #6

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
50% of Balance for Distribution
WIAA Share
50% of Balance for Distribution.
Payment Due to WIAA
Please send a check or ACH payment to WIAA net 30 days.
Event Deficit - WIAA will issue 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
Should be Empty:

Event Information