Center Grove Community School Corp 2018-19 Camp/Activity Request Form
This form should be used to submit ALL requests for Center Grove sponsored camps/recreational activities (including sports camps, summer camps and other programs/activities) ONLY IF YOU WILL CHARGE STUDENTS A FEE AND PAY STAFF MEMBERS/WORKERS THROUGH PAYROLL - even if these activities are fundraising events.
Activity Information
ALL CAMPS/RECREATIONAL ACTIVITIES MUST BE APPROVED by the Board of School Trustees at a regular board meeting prior to commencing. Requests received less than seven (7) business days prior to a regular board meeting will be approved at the next month's meeting. All summer sports camps/recreational activities will be approved by the Board of School Trustees at their April 2019 board meeting.
Sponsor Group (e.g., Football, Dance Club, etc.) *
Your answer
Name of Camp/Program/Activity *
Your answer
Beginning Date of Activity *
MM
/
DD
/
YYYY
Ending Date of Activity *
MM
/
DD
/
YYYY
Grade Level(s) *
Your answer
Location/Facility for Activity *
Your answer
Have you submitted an Application to Use School Facility? *
Visit www.centergrove.k12.in.us/Page/501 for more information on the building rental application process
Required
Approximate Cost per Student *
Your answer
Anticipated # of Participants *
Your answer
Budget Breakdown
The PROFIT should equal the REVENUE minus EXPENSES
REVENUE-Anticipated Total Revenue *
Your answer
EXPENSE-Anticipated Expenses Other than Salaries *
Your answer
EXPENSE-Facilitator/Coach Salaries *
Your answer
EXPENSE-Anticipated Profit Paid to Coach(es) *
Your answer
EXPENSE-Student Staff Salaries *
Your answer
EXPENSE-Adult Staff Salaries *
Your answer
PROFIT-Anticipated for the Sponsor Group *
Your answer
Staffing Information
Facilitator(s)/Coach(es) *
Please include first and last name(s) for each facilitator/coach; separate each by carriage return
Your answer
Anticipated # of Student Staff Members *
Your answer
Anticipated # of Adult Staff Members *
Your answer
Contact Information
Person Completing Request *
Your answer
Email Address *
Your answer
Submit
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