Western Dubuque County Community School District
WDHS Athletic Booster Club Funding Application Form
8/22/2019

Supporting Excellence in Athletics

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Requests for funding from the Western Dubuque Athletic Booster Club should be submitted on this form by the individual coach requesting the funding.
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Person Making Request:

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Coach First Name
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Coach Last Name
*
Position
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Request For:

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Item
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Boys  Girls  
Boys/Girls:
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Sport
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9  10  11  12  
Grade Levels:
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Amount:
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Please describe how this will enhance this program.
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Yes  No  
Will this replace any existing equipment:
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If so, what?
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*
Yes  No  
Will this equipment be used by an other program(s)?
*
If so, which ones?
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Item is needed by this date: *
Shipped item is expected to arrive on this date: *
Attachments: Click to Upload Files
Please upload any attachments
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To be Completed by Activities Director

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Date Received by Booster Club:
Booster Club Requests You Present Information On:
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Stipulations
Approved  Denied  
Routing Instructions
Please route this form to the Activities Director
Complete the information below to route your form. * Indicates Required Fields
Send to Approver:  
No approver has been assigned to this form, please contact your District Forms Manager.