Baxter/Brainerd Parks & Rec Co-Curricular Voucher (Game/Event Workers)

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Please complete this voucher at the conclusion of your assigned event. To expedite payment, please be sure all information provided is accurate.

If you officiated multiple games on the same day, please complete a separate submission for each game.

Thank you!

Are you a registered official with the MSHSL? *

Yes

Required

Date of Game/Event: *

YYYY

Start time of game/event: (reminder to submit one for each game) *

Time

Employee Last Name (Legal Name): *

Employee First Name (Legal Name): *

I am a current employee of Brainerd Public Schools *

Yes

Are you a teacher or administrator of Brainerd Public Schools (paid 1X/month): *

yes

Choose one per submission: *

Name of Teams Playing: *

Age/Team Level: *

Describe your job duties: *

Referee

Umpire

Other

If other describe duties:

Number of games officiated on this date: (Reminder - submit submissions for each date).

Clear selection

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this submission. *

I Accept

I Do Not Accept

Required

Note: timesheets submitted by the 1st of the month will be paid on the 15th. Timesheets submitted by the 15th of the month will be paid on the 30th.

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