* If you are reading this in Lynx (via Veblen), you will find it considerably easier to complete this form through Netscape.
Officer submitting form
Name: Phone number:
Club Sport:
Aikido Badminton CUT CUT B Cycling Eclipse Equestrian Fencing Field Hockey GOP Men's Ice Hockey Women's Ice Hockey Karate Men's Lacrosse Women's Lacrosse Men's Rubgy Women's Rubgy Syzygy Tae Kwon Do Men's Volleyball Water Polo Crew Nordic Alpine Sailing
*due within 2 business days of return*
If claiming expenses from your CSA budget, please fill in the following expense items that apply to your trip/competition.
List vehicle(s) used (college van, car, personal car, other) and mileage for each:
If a personal car was used please submit gas receipts to Leon Lunder. If receipts are not available, $.31 per mile (irs rate) can be used from your account to reimburse the car owner.
Other expenses (list costs and whether the amount was charged to the Carleton College club account, was prepaid from the Carleton College club account, or otherwise will or will not be billed to the Carleton College club account):
Entry fees/officials : Will be billed to Carleton College club account? Y N
Food: Will be billed to Carleton College club account? Y N
Lodging: Will be billed to Carleton College club account? Y N
Other: Will be billed to Carleton College club account? Y N
Please report the names of your opponents along with the results of each game (i.e. Game 1: Carleton 85, St. Olaf 5, Game 2: Carleton 95, Gustavus 3, etc). Also include the place/ finish overall (1st, 2nd, etc):
Additional Comments:
If you have injuries to report please proceed to the injury report form.
Last modified: Monday, 24-Nov-2003 09:18:39 CST by: Z. Miles