Claim Form for Salt Spring Island Travel, Out of District league games,
Tournament Fees, and Cup Play
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For travel to Salt Spring Island, claim $80.00 total for the team. The maximum total allowance for tournament fees is $200.00 per year. Submit claims to the Registrar at the end of November and at the end of the season. ONE CLAIM PER TEAM – DO NOT SUBMIT INDIVIDUAL CLAIMS Name of team _______________________________________ Division ____________ Part 1: Travel to Salt Spring Island for league or cup games Date of game ________________________ Amount claimed $ ____________ Date of game ________________________ Amount claimed $ ____________ Part 2: Tournament fees Tournament Name__________________ dates ____________ Location ____________ Amount $ __________ Tournament Name__________________ dates ____________ Location ____________ Amount $ __________ Part 3: Expenses for Out of District League games, Out of District Cup games and Vancouver Island League Winner Cup games: Name of game _______________________________________
Location of game _____________________________________ Number of funded people (# players who made the trip, plus 4 adults) _______
Please refer to our document entitled Funding for Travel outside of Lower Island for details re: ferry, mileage and hotel allowances.
Ferry allowance -­‐ passengers, if applicable Mileage allowance Hotel allowance – if applicable Ferry allowance – vehicles (if applicable) Per Person Total Amount Total amount requested Total amount claimed (Part 1+Part2 + Part 3) $ _______________________ You can receive full amount in advance with proof of participation (e.g. tournament schedule) if requested no earlier than 2 weeks prior to the event. Cheque payable to:______________________________________________________
Mailing Address with Postal Code: ____________________________________________
Signature of Team Representative (Coach, Assistant Coach or Manager):
____________________________
Form with receipts attached can be dropped in the clubhouse mailbox attn.: Registrar or
sent by e-mail to [email protected]. No Signature is required if sent by e-mail but
please scan and attach receipts.