Swim Meet Fee Worksheet

Hosted Swim Meet Fees

Meet Fee Worksheet
Name of Person Submitting Form:

First NameLast Name
Title or Position:
Club:
Email:
Start Date of Meet:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Meet:
Calculation of Payable Fees:
Is this a Championship Meet (A Champs, Division I, LC Champs)?
1a) Number of Athletes from Meet Manager Team Entry Fee Report:
1b) Amount of Surcharge Owed ($)
2a) Amount in Entry Fee Column of Meet Manager Team Entry Fee Report: (Not the Total Column)
2b) Amount of Outreach Fees Forgiven by Host Club $ (NOT reimbursed by Ozark):
2c) Amount of Valid Entry Fees ($):
2d) Amount of Splash Fees Owed ($):
Total Amount of Meet Fees to be Owed ($): (Your TU account will be invoiced)
Check Here if you prefer not be be invoiced through TU.
If you checked the above box, please send payment to:

Ozark Swimming

3733 S State Rte 159

Glen Carbon, IL 62034
Upload the Meet Manager Team Entry Fee Report Here

Cancelof
Signature
Name of Signer:

First NameLast Name
Should be Empty:

Hosted Swim Meet Fees