Budget Request Form 2010-2011 Club Name Annual Income Dues Amount # members Total Total Dues Fall $ - #VALUE! Winter $ - Spring #VALUE! Monetary Donations Semester Total Total Donations Fall $ - Winter $ - Spring $ - Fundraising # events Total Total Fundraising (itemize on next sheet) $ - Grand Total Income #VALUE! Recognized Expenses Equipment Fall Winter Spring Total Equipment $ - $ - Travel Fall Winter Spring Total Travel Vans From Ann Arbor $ - Referee Fees Fall Winter Spring Total Facility Rental $ - Fall Winter Spring Total League Dues Conference/League Dues $ - Fall Winter Spring Total Team Entry Fees Event Entry Fees $ - Fall Winter Spring Total Equipment Costs Equipment Costs $ - $ - $ - $ - Grand Total Recognized Expense $ - Grand Total Income #VALUE! Total Addtl Expenses Grand Total Recognized Expenses $ - Budget Balance #VALUE! Request from UM-Flint Additional Costs per # of Members Amount per Member Total ########### Member to Balance $ - ITEMIZED INCOME Fundraising Events Fundraising Event Name Total Charity Total Raised $0.00 ITEMIZED RECOGNIZED EXPENSES Team Equipment (uniforms to be included only if they are team property and not to be kept by participant) Item Quantity Cost Total $ - $ - $ - $ - $ - Total Equipment Costs $ - Travel Location # Days # Members Car Fleet Gas Hotel Airfare Total Trip 1 $450.00 Trip 2 $450.00 Trip 3 $ - Trip 4 $ - Trip 5 $ - Trip 6 $ - Trip 7 $ - Trip 8 $ - Total Travel Costs ###### Facility Rental Facility Name Practice/Game Rate # Prac/Games Total Fall Winter Spring $ - $ - Total Facility Rental $ - Event Entry Fees Event Amount Total Event Entry Fees $ - Officials/Judges Fees # Officials Rate # Events/Hours Total $ - $ - $ - Total Officials/Judges Fees $ - ADDITIONAL EXPENSES Personal Equipment (including uniforms for personal wear) Item Quantity Cost Total $ - $ - $ - Total Personal Equipment Costs $ - Printing/Advertising/Duplicating Item Quantity Cost Total $ - $ - $ - Total Printing/Advertising/Duplicating Costs $ - Capital Equipment (major one-time expenses) Item Quantity Cost Total $ - $ - Total Capital Equipment Costs $ - Additional Travel Costs (trips outside of league/conference or additional trips) Location # Days # Members Car Fleet Gas Hotel Airfare Total Trip 1 $139.20 Trip 2 $139.20 Trip 3 $139.20 Trip 4 $139.20 Trip 5 $139.20 Trip 6 $139.20 Total Additional Travel Costs ###### Instructions for Summary Sheet 1) 2) 3) 4) 5) 6) Instructions for Itemized Income 1) Instructions for Itemized Recognized Expenses 1) 2) 3) 4) 5) 6) Instructions for Additional Expenses 1) 2) 3) Instructions for Summary Sheet Enter a number in each shaded box. You may enter zero. The totals are pre-calculated. Enter the dollar amount you are requesting from UM-Flint Club Sports If the amount you are requesting from the Club Sports does not zero-out your budget, then you must show how much ADDITIONAL COSTS per MEMBER it will take to balance the budget. 60% of total expenses must be self-generated by the club. A club may ask for no more than 40% of your total allocation to be funded by UM-Flint Club Sports. Missed Council meetings and deadlines may also impact the amount of money allocated. Instructions for Itemized Income Fundraising Event - enter name of fundraising event. Total - enter amount anticipate receiving from fundraiser as a net gain. Instructions for Itemized Recognized Expenses Equipment Only TEAM equipment may be reported here. This is equipment that benefits the entire team and stays with the club. Uniforms that are personal do not get reported here. Item - enter the name of the item. Quantity - enter the number of items the team will purchase. Cost - enter the price per item. Travel league/conference travel, regional tournament and national tournament Location - enter the city or school that will host the event. Length - enter number of days for trip # Members - enter the number of members that will travel. Rental Vehicle, Gas, Hotel, Airfare - enter the total amounts for the trip. Fleet Charges: Extended vans - $30 per day plus $0.33 per mile (40 miles included per day) Personal Vehicles: Use the number of round-trip miles divided by 15 miles per gallon x $2.90 per gallon. Hotel Costs: Assume 4 people per room. High cost city - $120 per night Low cost city - $80 per night High Cost City - Chicago, Kansas City, Columbus Low Cost City - Iowa City, Minneapolis, West Lafayette Facility Rental - Facility Name - enter the name of the practice/game facility. Practice/Game - enter if for practices or games. Rate - enter the price you will be charged per hour, week, month, etc. # Prac/Games - enter the number of practices, games, hours, weeks, months, semesters, etc. that club will pay the rental fee. Perani Ice Arena Cost: $210 for practice, $250 for game Conference/League Dues Name - enter the conference/league name paying dues to. Amount - enter total cost of dues. Event Entry Fees Event - enter name of event. Amount - enter total cost of entering event. Officials/Judges Fees # Officials - enter total # of officials or judges you will need. Rate - enter price per hour, event, etc. for officials/judges. # events/hours - enter the total number of hours, events, etc. officials/judges will be needed. Instructions for Additional Expenses Personal Equipment Equipment that does not stay with club and goes with the members. This may include uniforms. Item - enter the name of the item. Quantity - enter the number of items the team will purchase. Cost - enter the price per item. Capital Equipment Equipment that will be a major one-time expense. Item - enter the name of the item. Quantity - enter the number of items the team will purchase. Cost - enter the price per item. Additional Travel Additional travel for those events not necessary to compete in league/conference Location - enter the city or school that will host the event. Length - enter number of days for trip # Members - enter the number of members/coaches that will travel. Rental Vehicle, Gas, Hotel, Airfare - enter the total amounts for the trip.
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