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HS ACTIVITY REQUEST FORM

Activity: ______________________________________________
Date of Activity: ________________________________________________ Time: ________________________
Place: ______________________________________________________________________________________
Participant cost: $ _________________
Teacher / Student(s) in charge:__________________________________________________________________
Purpose & Description of Activity:
______________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Supplies & Materials Needed:
_________________________________________________________________________
__________________________________________________________________________________________________
Clean Up:
__________________________________________________________________________________________
__________________________________________________________________________________________________
Special Considerations:
_______________________________________________________________________________
__________________________________________________________________________________________________
Advisor in Charge: _________________________________
___________________________
Administrative Signature: ______________________________
(If Approved)

Advisor Signature:

Date: ______________

ANY MONEY COLLECTED MUST BE TURNED IN AT THE END OF THE OF THE ACTIVITY BY THE
ADVISOR.
Accounting for monies Collected
Amount Collected: _________________________________
Amount Received in Accounting/Cashier:_____________________________________
Receipt Number________________________________________
Special Notes:
______________________________________________________________________________________

__________________________________________________________________________________________________
__________________________________________________________________________________________________
Advisor Signature: _______________________________________________