Mandatory Travel Form

The mandatory travel form must be completed 48 hours before any sport club travels to any away events. The information is significant in regards to WIU insurance purposes. It is important that the information below be complete and thorough. Reimbursements will be held until the proper form is completed.

Sport Club Name:__________________________________ Today’s Date:_________

Name of WIU Sport Club Contact Phone Number_________

Opposing School Contact Name: _______________________Phone Number_________

Name of Event/Opponent:_______________ Date and Time of Event:___________

 Trip Itinerary (Departure Time and Arrival etc.)

Names of Players Traveling

1.                                        6.                                  11.                               16.

2.                                       7.                                  12.                               17.

3.                                       8.                                   13.                               18.

4.                                       9.                                   14.                               19                   

5.                                      10.                                  15.                               20.

Name of Drivers and Drivers License number:

     1. DL#:
     2. DL#:
     3. DL#
     4. DL#:
     5. PL#:

Name/Location of Lodging:

Verification that the following items have been completed:

Valid drivers license from drivers

First Aid kit

Cell phone

Waivers signed for all players

Emergency procedures information

Number of Vehicles Traveling: ____

Phone Number___________