Pentucket Regional High School
Athletic Department
Athletic Fundraising Authorization Form
This form is to be completed and submitted to the PAA and Athletic Director prior to any fundraising activity taking place.
Sports Booster Group:_________________________________
Coach:_____________________________________________
Other:______________________________________________
Sport:______________________________________________
Team Liaison/Sport Representative (May not be a member of coaching staff)
Name:___________________________Date:__________Phone:____________
Address:__________________Town: __________________Zip:_________
I/We hereby request permission to conduct the following Fund Raising Activity (attach sheet if necessary)
For the following purpose:_______________________________________________
Project Timeline Start date:_______________ End date:_______________
Projected Amount to be raised $________________
Location of Fund Raising Activity: □At School □Off Campus □Both
Level of team to benefit: □Varsity □JV □Fresh □All levels
Materials/Items to be purchased (attach sheet if necessary)
Cost to public $_______________
Cost to Team Members $_____________
Vendor Information:
Contact Person:______________________________
Business Name:_____________________________Phone:______________________
Address:_____________________________ Town: _____________Zip:______
This activity is contingent upon the approvals of PAA & the Athletic Director.
NOTE:
NO SALES MAY BEGIN PRIOR TO RECEIVING APPROVAL
The PAA typically meets the first Wednesday of every month from Sept. - June
Approvals:
PAA
□Approved Date Voted:_______________
□Denied Reason:______________________________
Athletic Director
□Approved Date Voted:_______________
□Denied Reason:______________________________
If your fund raising activity is approved, please submit the financial information requested below to PAA mailbox in the Athletic Office at the end of your fund raising activity.
Sport:_______________________________
Total Receipts: $_____________________________
Total Expenditures $_________________________
Profit $______________________________
Team Liaison/Sport Representative
Name: (Please Print)______________________________
Signature__________________________ Date:____________
Sports Booster Group:_________________________________
Coach:_____________________________________________
Other:______________________________________________
Sport:______________________________________________
Team Liaison/Sport Representative (May not be a member of coaching staff)
Name:___________________________Date:__________Phone:____________
Address:__________________Town: __________________Zip:_________
I/We hereby request permission to conduct the following Fund Raising Activity (attach sheet if necessary)
For the following purpose:_______________________________________________
Project Timeline Start date:_______________ End date:_______________
Projected Amount to be raised $________________
Location of Fund Raising Activity: □At School □Off Campus □Both
Level of team to benefit: □Varsity □JV □Fresh □All levels
Materials/Items to be purchased (attach sheet if necessary)
Cost to public $_______________
Cost to Team Members $_____________
Vendor Information:
Contact Person:______________________________
Business Name:_____________________________Phone:______________________
Address:_____________________________ Town: _____________Zip:______
This activity is contingent upon the approvals of PAA & the Athletic Director.
NOTE:
NO SALES MAY BEGIN PRIOR TO RECEIVING APPROVAL
The PAA typically meets the first Wednesday of every month from Sept. - June
Approvals:
PAA
□Approved Date Voted:_______________
□Denied Reason:______________________________
Athletic Director
□Approved Date Voted:_______________
□Denied Reason:______________________________
If your fund raising activity is approved, please submit the financial information requested below to PAA mailbox in the Athletic Office at the end of your fund raising activity.
Sport:_______________________________
Total Receipts: $_____________________________
Total Expenditures $_________________________
Profit $______________________________
Team Liaison/Sport Representative
Name: (Please Print)______________________________
Signature__________________________ Date:____________
Click here to download Fundraising Authorization Form