2016-17 Brainerd High School Athletic Officials Voucher for Payment of Services
Date of Contest
Sport or Activity:
Swimming and Diving, Boys
Swimming and Diving, Girls
Track and Field
Level of Competition:
Check "Other" to add details about contest (e.g. Dual, 5th Quarter, etc)
Round Trip Mileage (Varsity Officials only):
*Mileage to be paid for one vehicle per contest.*
Official's Last Name:
Official's First Name:
You may enter "On File" if you have filled out a voucher for payment during this school year
Social Security Number
You may enter "On File" if you have previously submitted your SSN on an officials voucher this school year.
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