Instructions:  Make two copies.  Retain one, send one to visiting school along with a check and send original with check within thirty (30) days of event to:

  CIF Central Section                                                                                                                                                                  P.O. Box 1567 Porterville, CA 93258  Fax (559) 781-7033

  Host School: ____________________________          Visiting School: ____________________________

  Date of Contest: ______________     Winner: ______________________     Final Score: ______-_______

  Check Appropriate Boxes

Type of contest:     ٱ Preliminary     ٱ Quarter Final     ٱ Semi Final     ٱ Section Final     ٱ Masters

                                       ٱ Boys            ٱ Girls

  Division:                    ٱI     ٱII     ٱIII     ٱIV     ٱV

  Sport:                    ٱ Baseball       ٱ Basketball        ٱ Cross Country          ٱ Football          ٱ Golf

                               ٱ Soccer          ٱ Softball            ٱ Swimming/Diving    ٱ Tennis            ٱ Track

                               ٱ Volleyball    ٱ Water Polo        ٱ Wrestling

                                  Facility Host May Retain                                           Expenses

                Program, Concession and Parking Revenue

  Gate Receipts:     $_______________                              1.  Allowed expenses (see reverse side): $______

  Entry Fees:          $_______________                              2.  Officials                                                     $______

                                                                                               Any requests for additional

                                                                                               expenses must be pre-approved

                                                                                               by your league Commissioner

                                                                                              or Section Commissioner                                  $______

                  TOTAL INCOME:$_____________               TOTAL EXPENSES:                                  $______

                                                                                                                     NET RECEIPTS:  $_______________

  ____________________________________  _____________     _________________________________

Principal                                                                         Date                           Person Completing Report

                                  Distribution of receipts (Use Applicable Proportion)

        60% Net to Host School:    $ ___________                              30% Net to Host School $ __________

        40 % Net to CIF: $ ___________________                         30% Net to Visiting School $ __________

                                                                                                                    40% Net to CIF: $ ________________