https://tinyurl.com/PBCFundingRequest
TODAYS DATE
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
DATE FUNDS NEEDED
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
SPORT OR ACTIVITY
*
REQUESTORS NAME
*
REQUESTORS EMAIL
*
REQUEST DESCRIPTION (attach additional documents/info below)
*
CAN OTHER STUDENTS/TEAMS/CLUBS UTILIZE (explain if applicable)
*
# OF STUDENTS WHO BENEFIT
*
WHERE WILL ITEM BE STORED
*
DID YOU GET ADDITIONAL QUOTES? (if request is over $1,000, at least two quotes should be provided)
*
Yes
No
N/A
TOTAL COST
*
STUDENT PAY
*
If students will contribute, please list the amount each student will contribute
OTHER SUPPORT
*
Is other organizations helping with funds? Did group do other fundraisers?
TOTAL REQUEST
*
ADDITIONAL INFORMATION FOR MEMBERSHIP TO GRANT YOUR FUNDING REQUEST (attach additional documents/info below)
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COACH/SPONSOR SIGNATURE
*
DATE
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
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