Portsmouth Athletic Boosters

Funds Request


Coaches Contact Info:

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(PHS Boosters are tax-emempt. Tax will not be reimbursed)

EQUIPMENT/SERVICES BEING REQUESTED
Please provide a detailed description and cost breakdown of the equipment or service.
Specify any matching funds and sources if applicable
Keep in mind that we might not be familiar with the items, especially if they are specific to your sport.
If request is for championship awards, please list championship level and how award will be used
( jackets, plaques etc)
In accordance with Booster Policy, requests for uniforms and required equipment will not be considered.

WHY IS THIS ITEM BEING REQUESTED/ Who benefits? How? ( not needed for Championship Requests )

TEAM CHAMPIONSHIPS REQUEST:

DIVISION CHAMPS ( up to $15/athlete)
Enter # Athletes Enter # Coaches (Maximum 2 allowed)

STATE CHAMPS (up to $30/athlete)
Enter # Athletes Enter # Coaches (Maximum 2 allowed)

• Note: Any team winning both the division and the states will only be eligible for the state award
amount. Teams must provide invoice for reimbursement. The amount awarded will be in accordance with the
number participating in the award. All awards are subject to funds availability

Click button to email this form to the Boosters' President and PHS Athletic Director.