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Athletic Disclosure Form 1 of 1 Page 1 - General Information Ver 14.5 LEA Name: LEA Address: LEA AUN: School Name: School Address: School Number: Boys Girls Total 0 0 0 0 0 0 25 26 51 27 37 64 37 38 75 29 25 54 118 126 244 Name of LEAs Title IX Compliance Officer: Telephone Number: Extension: 315 Email Address: Name of Individual Completing This Form: Telephone Number: Extension: 328 Email Address: Does This School Sponsor Any Interscholastic Athletic Teams? (Yes or No) 115226103 Jeff Prouse Miss Sheree-Lee Knorr 717-692-2108 Millersburg Area SHS 799 Center St Millersburg, PA 17061 [email protected] Contact Information 1794 School Enrollment Data 10th 11th Total 7th 8th 9th 12th 717-692-2108 [email protected] Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please Submit Per The Instructions Provided. INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.5 2013 - 2014 School Year Page 1 - Section 1: General Information Grade Millersburg Area SD LEA & School Information 799 Center St Millersburg, PA 17061

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

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Page 1: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 1 of 1 Page 1 - General Information

Ver 14.5

LEA Name:

LEA Address:

LEA AUN:

School Name:

School Address:

School Number:

Boys Girls Total 0 0 00 0 0

25 26 5127 37 6437 38 7529 25 54

118 126 244

Name of LEAs Title IX Compliance Officer:

Telephone Number: Extension: 315

Email Address:

Name of Individual Completing This Form:

Telephone Number: Extension: 328

Email Address:

Does This School Sponsor Any Interscholastic Athletic Teams? (Yes or No)

115226103

Jeff Prouse

Miss Sheree-Lee Knorr

717-692-2108

Millersburg Area SHS

799 Center St Millersburg, PA 17061

[email protected]

Contact Information

1794

School Enrollment Data

10th11th

Total

7th8th9th

12th

717-692-2108

[email protected]

Interscholastic Team Sponsorship

Yes

If Your Answer To The Above Question Is No, Stop! No more information is needed for this school.Please Submit Per The Instructions Provided.

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Page 1 - Section 1: General Information

Grade

Millersburg Area SD

LEA & School Information

799 Center St Millersburg, PA 17061

Page 2: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 1 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

Baseball Boys Varsity 13 13 Yes 1949 19 19 19

Basketball Boys Varsity 10 10 Yes 1944 22 22 22

Bowling Boys Varsity 0 0

Cross Country Boys Varsity 0 0

Football Boys Varsity 16 16 Yes 1944 10 10 10

Golf Boys Varsity 6 6 Yes 1964 9 9 9

Lacrosse Boys Varsity 0 0

Rifle Boys Varsity 0 0

Soccer Boys Varsity 15 15 Yes 1990 18 18 18

Swimming and Diving Boys Varsity 3 3 Yes 2003 8 8 8

Tennis Boys Varsity 0 0

Track & Field (Indoor) Boys Varsity 0 0

Track & Field (Outdoor) Boys Varsity 13 13 Yes 1961 1963 1981 9 9 9

Volleyball Boys Varsity 0 0

Water Polo Boys Varsity 0 0

Wrestling Boys Varsity 0 0

Baseball Boys Jr Varsity 10 10 Yes 1949 9 9 9

Basketball Boys Jr Varsity 9 9 Yes 1944 16 16 16

Bowling Boys Jr Varsity 0 0

Cross Country Boys Jr Varsity 0 0

Football Boys Jr Varsity 13 13 Yes 1944 9 9 4

Golf Boys Jr Varsity 0 0

Lacrosse Boys Jr Varsity 0 0

Rifle Boys Jr Varsity 0 0

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Page 3: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 2 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Soccer Boys Jr Varsity 12 12 Yes 1990 15 15 15

Swimming and Diving Boys Jr Varsity 0 0

Tennis Boys Jr Varsity 0 0

Track & Field (Indoor) Boys Jr Varsity 0 0

Track & Field (Outdoor) Boys Jr Varsity 0 0

Volleyball Boys Jr Varsity 0 0

Water Polo Boys Jr Varsity 0 0

Wrestling Boys Jr Varsity 0 0

Baseball Boys Freshman 0 0

Basketball Boys Freshman 0 0

Bowling Boys Freshman 0 0

Cross Country Boys Freshman 0 0

Football Boys Freshman 0 0

Golf Boys Freshman 0 0

Lacrosse Boys Freshman 0 0

Rifle Boys Freshman 0 0

Soccer Boys Freshman 0 0

Swimming and Diving Boys Freshman 0 0

Page 4: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 3 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Tennis Boys Freshman 0 0

Track & Field (Indoor) Boys Freshman 0 0

Track & Field (Outdoor) Boys Freshman 0 0

Volleyball Boys Freshman 0 0

Water Polo Boys Freshman 0 0

Wrestling Boys Freshman 0 0

Baseball Boys 8th Grade 0 0

Basketball Boys 8th Grade 9 9 Yes 1975 14 14 14

Bowling Boys 8th Grade 0 0

Cross Country Boys 8th Grade 0 0

Football Boys 8th Grade 0 0

Golf Boys 8th Grade 0 0Lacrosse Boys 8th Grade 0 0

Rifle Boys 8th Grade 0 0

Soccer Boys 8th Grade 0 0

Swimming and Diving Boys 8th Grade 0 0

Page 5: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 4 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Tennis Boys 8th Grade 0 0

Track & Field (Indoor) Boys 8th Grade 0 0

Track & Field (Outdoor) Boys 8th Grade 0 0

Volleyball Boys 8th Grade 0 0

Water Polo Boys 8th Grade 0 0

Wrestling Boys 8th Grade 0 0

Baseball Boys 7th Grade 0 0

Basketball Boys 7th Grade 9 9 Yes 1975 14 14 14

Bowling Boys 7th Grade 0 0

Cross Country Boys 7th Grade 0 0

Football Boys 7th Grade 0 0

Golf Boys 7th Grade 0 0

Lacrosse Boys 7th Grade 0 0

Rifle Boys 7th Grade 0 0

Soccer Boys 7th Grade 0 0

Page 6: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 5 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Swimming and Diving Boys 7th Grade 0 0

Tennis Boys 7th Grade 0 0

Track & Field (Indoor) Boys 7th Grade 0 0

Track & Field (Outdoor) Boys 7th Grade 0 0

Volleyball Boys 7th Grade 0 0

Water Polo Boys 7th Grade 0 0

Wrestling Boys 7th Grade 0 0

Basketball Girls Varsity 11 11 Yes 1944 22 22 22

Bowling Girls Varsity 0 0

Competitive Spirit Girls Varsity 10 10 Yes Yes 1944 0

Cross Country Girls Varsity 0 0

Field Hockey Girls Varsity 0 0

Golf Girls Varsity 0 0

Gymnastics Girls Varsity 0 0

Lacrosse Girls Varsity 0 0

Rifle Girls Varsity 0 0

Soccer Girls Varsity 16 16 Yes 2002 18 18 17

Softball, Fast Pitch Girls Varsity 11 11 Yes 1969 19 19 18

Swimming and Diving Girls Varsity 3 3 Yes 2003 8 8 8

Tennis Girls Varsity 0 0

Page 7: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 6 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Track & Field (Indoor) Girls Varsity 0 0

Track & Field (Outdoor) Girls Varsity 13 13 Yes 1981 9 9 9

Volleyball Girls Varsity 13 13 Yes 1993 18 18 18

Water Polo Girls Varsity 0 0

Basketball Girls Jr Varsity 0 0

Bowling Girls Jr Varsity 0 0

Competitive Spirit Girls Jr Varsity 5 5 Yes Yes 0

Cross Country Girls Jr Varsity 0 0

Field Hockey Girls Jr Varsity 0 0

Golf Girls Jr Varsity 0 0

Gymnastics Girls Jr Varsity 0 0

Lacrosse Girls Jr Varsity 0 0

Rifle Girls Jr Varsity 0 0

Soccer Girls Jr Varsity 13 13 Yes 2002 13 13 13

Softball, Fast Pitch Girls Jr Varsity 9 9 Yes 1969 16 16 15

Swimming and Diving Girls Jr Varsity 0 0

Tennis Girls Jr Varsity 0 0

Track & Field (Indoor) Girls Jr Varsity 0 0

Track & Field (Outdoor) Girls Jr Varsity 0 0

Volleyball Girls Jr Varsity 10 10 Yes 1993 18 18 18

Water Polo Girls Jr Varsity 0 0

Basketball Girls Freshman 0 0

Bowling Girls Freshman 0 0

Page 8: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 7 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Competitive Spirit Girls Freshman 0 0

Cross Country Girls Freshman 0 0

Field Hockey Girls Freshman 0 0

Golf Girls Freshman 0 0

Gymnastics Girls Freshman 0 0

Lacrosse Girls Freshman 0 0

Rifle Girls Freshman 0 0

Soccer Girls Freshman 0 0

Softball, Fast Pitch Girls Freshman 0 0

Swimming and Diving Girls Freshman 0 0

Tennis Girls Freshman 0 0

Track & Field (Indoor) Girls Freshman 0 0

Track & Field (Outdoor) Girls Freshman 0 0

Volleyball Girls Freshman 0 0

Water Polo Girls Freshman 0 0

Page 9: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 8 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Basketball Girls 8th Grade 7 7 Yes 11 11 11

Bowling Girls 8th Grade 0 0

Competitive Spirit Girls 8th Grade 0 0

Cross Country Girls 8th Grade 0 0

Field Hockey Girls 8th Grade 0 0

Golf Girls 8th Grade 0 0

Gymnastics Girls 8th Grade 0 0

Lacrosse Girls 8th Grade 0 0

Rifle Girls 8th Grade 0 0

Soccer Girls 8th Grade 0 0

Softball, Fast Pitch Girls 8th Grade 0 0

Swimming and Diving Girls 8th Grade 0 0

Tennis Girls 8th Grade 0 0

Track & Field (Indoor) Girls 8th Grade 0 0

Track & Field (Outdoor) Girls 8th Grade 0 0

Page 10: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 9 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Volleyball Girls 8th Grade 0 0

Water Polo Girls 8th Grade 0 0

Basketball Girls 7th Grade 5 5 Yes 11 11 11

Bowling Girls 7th Grade 0 0

Competitive Spirit Girls 7th Grade 9 9 Yes Yes 2013 0

Cross Country Girls 7th Grade 0 0

Field Hockey Girls 7th Grade 0 0

Golf Girls 7th Grade 0 0

Gymnastics Girls 7th Grade 0 0

Lacrosse Girls 7th Grade 0 0

Rifle Girls 7th Grade 0 0

Soccer Girls 7th Grade 0 0

Softball, Fast Pitch Girls 7th Grade 0 0

Swimming and Diving Girls 7th Grade 0 0

Tennis Girls 7th Grade 0 0

Page 11: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 10 of 20 Page 2 - Team Information

School: Millersburg Area SHS - 1794 Page 2 - Section 1: Team Information

Boys Girls TOTAL F W SYear

Established 1Year of

Demotion Year of

EliminationYear of

ReinstatementF W S Total F W S

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

Sport

Boys

/Girl

s

Leve

l

TEAM MEMBERSHIP

Team History (Format =YYYY, e.g. 1955)

Season(s) Team Competes

Total Number of Participants (As Of The Day Of The First Scheduled Team

Competition)

Total Number o Competitions Played

Season

Total Number of Competitions Scheduled

Per Season

Track & Field (Indoor) Girls 7th Grade 0 0

Track & Field (Outdoor) Girls 7th Grade 0 0

Volleyball Girls 7th Grade 0 0

Water Polo Girls 7th Grade 0 0

1 For initial submission and for interscholastic athletic teams that were newly established.

Page 12: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 11 of 20 Page 2 - Team Information

BaseballBasketball BowlingCross CountryFootballGolfLacrosseRifleSoccerSwimming and DivingTennisTrack & Field (Indoor)Track & Field (Outdoor)VolleyballWater PoloWrestlingBaseballBasketball BowlingCross CountryFootballGolfLacrosseRifle

Sport

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

19 1 1 11.00% 0.00% 0.00% 0.00%22 1 1 3.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

10 1 3 29.00% 0.00% 0.00% 0.00%9 1 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

18 1 4.00% 0.00% 0.00% 0.00%8 1 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%9 1 5 5.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%9 1 1 1.00% 0.00% 0.00% 0.00%

16 1 2.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%4 1 1 6.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

Page 13: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 12 of 20 Page 2 - Team Information

Sport

SoccerSwimming and DivingTennisTrack & Field (Indoor)Track & Field (Outdoor)VolleyballWater Polo Wrestling

Baseball

Basketball

Bowling

Cross Country

Football

Golf

Lacrosse

Rifle

Soccer

Swimming and Diving

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

15 1 1.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 14: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 13 of 20 Page 2 - Team Information

Sport

Tennis

Track & Field (Indoor)

Track & Field (Outdoor)

Volleyball

Water Polo

Wrestling

Baseball

Basketball

Bowling

Cross Country

FootballGolfLacrosse

Rifle

Soccer

Swimming and Diving

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

14 1 1.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 15: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 14 of 20 Page 2 - Team Information

Sport

Tennis

Track & Field (Indoor)

Track & Field (Outdoor)

Volleyball

Water Polo

Wrestling

Baseball

Basketball

Bowling

Cross Country

Football

Golf

Lacrosse

Rifle

Soccer

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

14 1.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 16: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 15 of 20 Page 2 - Team Information

Sport

Swimming and Diving

Tennis

Track & Field (Indoor)

Track & Field (Outdoor)

Volleyball

Water Polo

WrestlingBasketballBowlingCompetitive SpiritCross CountryField HockeyGolfGymnasticsLacrosseRifleSoccerSoftball, Fast PitchSwimming and DivingTennis

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%22 1 1 4.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 1 4.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

17 1 1 5.00% 0.00% 0.00% 0.00%18 1 1 7.00% 0.00% 0.00% 0.00%8 1 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

Page 17: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 16 of 20 Page 2 - Team Information

Sport

Track & Field (Indoor)Track & Field (Outdoor)VolleyballWater PoloBasketballBowlingCompetitive SpiritCross CountryField HockeyGolfGymnasticsLacrosseRifleSoccerSoftball, Fast PitchSwimming and DivingTennisTrack & Field (Indoor)Track & Field (Outdoor)VolleyballWater Polo

Basketball

Bowling

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

0 0.00% 0.00% 0.00% 0.00%9 5.00% 0.00% 0.00% 0.00%

18 1 3.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 1 1.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

13 1 2.00% 0.00% 0.00% 0.00%15 1 2.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

18 1 1.00% 0.00% 0.00% 0.00%0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 18: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 17 of 20 Page 2 - Team Information

Sport

Competitive Spirit

Cross Country

Field Hockey

Golf

Gymnastics

Lacrosse

Rifle

Soccer

Softball, Fast Pitch

Swimming and Diving

Tennis

Track & Field (Indoor)

Track & Field (Outdoor)

Volleyball

Water Polo

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 19: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 18 of 20 Page 2 - Team Information

Sport

Basketball

Bowling

Competitive Spirit

Cross Country

Field Hockey

Golf

Gymnastics

Lacrosse

Rifle

Soccer

Softball, Fast Pitch

Swimming and Diving

Tennis

Track & Field (Indoor)

Track & Field (Outdoor)

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

11 1 1.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 20: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 19 of 20 Page 2 - Team Information

Sport

Volleyball

Water Polo

Basketball

Bowling

Competitive Spirit

Cross Country

Field Hockey

Golf

Gymnastics

Lacrosse

Rifle

Soccer

Softball, Fast Pitch

Swimming and Diving

Tennis

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

11 1 1.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 1 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 21: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 20 of 20 Page 2 - Team Information

Sport

Track & Field (Indoor)

Track & Field (Outdoor)

Volleyball

Water Polo

1 For initial submission and for interschola

LEA: Millersburg Area SD - 115226103

Trainer 1 Trainer 2 Trainer 3 Trainer 4

Total Full Time Part Time Full Time Part Time 100.00% 0.00% 0.00% 0.00%

COACHES & TRAINERS

PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM

NUMBER OF COACHES PER TEAM

Head Assistant

of d Per

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

0 0.00% 0.00% 0.00% 0.00%

Page 22: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 1 of 4 Page 3 - Financial Information

School: Millersburg Area SHS - 1794 LEA: Millersburg Area SD - 115226103

List total value of contributionsper team

List total value of purchasesper team

Fall Winter SpringTotals $28,622.85 $10,160.40 $12,175.66 $10,618.67 $33,681.04 $32,420.51 $14,567.49 $20,165.00 $81,079.08 $608.80

Baseball Boys Varsity $8,445.31 $1,729.95 $1,149.74 $776.78 $1,226.64 $3,562.20 $5,959.73 $0.00

Basketball Boys Varsity $8,791.02 $1,376.15 $8.37 $3,944.50 $3,462.00 $6,047.33 $0.00

Bowling Boys Varsity $0.00 $0.00 $0.00

Cross Country Boys Varsity $0.00 $0.00 $0.00

Football Boys Varsity $24,434.81 $3,230.00 $3,744.21 $2,345.34 $909.88 $4,057.13 $10,148.25 $3,053.73 $0.00

Golf Boys Varsity $5,794.91 $1,950.00 $548.25 $313.04 $1,000.00 $275.62 $1,708.00 $0.00 $0.00

Lacrosse Boys Varsity $0.00 $0.00 $0.00

Rifle Boys Varsity $0.00 $0.00 $0.00

Soccer Boys Varsity $7,397.83 $1,154.72 $617.92 $926.42 $1,422.77 $3,276.00 $9,090.36 $0.00

Swimming and Diving Boys Varsity $1,040.67 $455.67 $43.50 $240.00 $125.00 $176.50 $0.00 $0.00

Tennis Boys Varsity $0.00 $0.00 $0.00

Track & Field (Indoor) Boys Varsity $0.00 $0.00 $0.00

Track & Field (Outdoor) Boys Varsity $9,014.74 $965.50 $649.52 $649.64 $1,755.58 $4,994.50 $1,312.70 $0.00

Volleyball Boys Varsity $0.00 $0.00 $0.00

Water Polo Boys Varsity $0.00 $0.00 $0.00

Wrestling Boys Varsity $0.00 $0.00 $0.00

Baseball Boys Jr Varsity $5,926.48 $1,305.05 $766.85 $554.42 $925.36 $2,374.80 $4,495.93 $0.00

Basketball Boys Jr Varsity $6,837.77 $1,220.85 $7.43 $3,301.49 $2,308.00 $5,362.73 $0.00

Bowling Boys Jr Varsity $0.00 $0.00 $0.00

Cross Country Boys Jr Varsity $0.00 $0.00 $0.00

Football Boys Jr Varsity $10,669.67 $486.00 $3,063.44 $1,918.92 $744.45 $1,074.11 $3,382.75 $2,498.51 $0.00

Golf Boys Jr Varsity $0.00 $0.00 $0.00

Lacrosse Boys Jr Varsity $0.00 $0.00 $0.00

Rifle Boys Jr Varsity $0.00 $0.00 $0.00

Soccer Boys Jr Varsity $5,403.67 $907.28 $485.50 $727.91 $1,098.98 $2,184.00 $7,142.43 $0.00

Swimming and Diving Boys Jr Varsity $0.00 $0.00 $0.00

Tennis Boys Jr Varsity $0.00 $0.00 $0.00

Track & Field (Indoor) Boys Jr Varsity $0.00 $0.00 $0.00

Track & Field (Outdoor) Boys Jr Varsity $0.00 $0.00 $0.00

Volleyball Boys Jr Varsity $0.00 $0.00 $0.00

Water Polo Boys Jr Varsity $0.00 $0.00 $0.00

Wrestling Boys Jr Varsity $0.00 $0.00 $0.00

Baseball Boys Freshman $0.00 $0.00 $0.00

Basketball Boys Freshman $0.00 $0.00 $0.00

Bowling Boys Freshman $0.00 $0.00 $0.00

Cross Country Boys Freshman $0.00 $0.00 $0.00

Football Boys Freshman $0.00 $0.00 $0.00

Golf Boys Freshman $0.00 $0.00 $0.00

Lacrosse Boys Freshman $0.00 $0.00 $0.00

Rifle Boys Freshman $0.00 $0.00 $0.00

Soccer Boys Freshman $0.00 $0.00 $0.00

Swimming and Diving Boys Freshman $0.00 $0.00 $0.00

Tennis Boys Freshman $0.00 $0.00 $0.00

Track & Field (Indoor) Boys Freshman $0.00 $0.00 $0.00

Track & Field (Outdoor) Boys Freshman $0.00 $0.00 $0.00

Volleyball Boys Freshman $0.00 $0.00 $0.00

Water Polo Boys Freshman $0.00 $0.00 $0.00

Wrestling Boys Freshman $0.00 $0.00 $0.00

Baseball Boys 8th Grade $0.00 $0.00 $0.00

Basketball Boys 8th Grade $1,994.94 $632.50 $120.44 $1,242.00 $0.00 $0.00

Bowling Boys 8th Grade $0.00 $0.00 $0.00

Cross Country Boys 8th Grade $0.00 $0.00 $0.00

Football Boys 8th Grade $0.00 $0.00 $0.00

Golf Boys 8th Grade $0.00 $0.00 $0.00

Lacrosse Boys 8th Grade $0.00 $0.00 $0.00

Rifle Boys 8th Grade $0.00 $0.00 $0.00

Uniforms 2

$13,988.75

Supplies and Equipment 3

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.5

Page 3 - Section 1: Financial Information

Other

2013 - 2014 School Year

ATHLETIC EXPENDITURESNON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER

NON-SCHOOL) CONTRIBUTIONS & PURCHASES

Facilities 4Travel 1

Boys

/Girl

s

Tota

l Ann

ual S

choo

l Tea

m

Expe

nditu

res

TeamCoaching Staff Compensation

per Sport per Season

Total Compensation For All Athletic

Trainers Per Academic Year

SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM

Leve

l

Page 23: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 2 of 4 Page 3 - Financial Information

School: Millersburg Area SHS - 1794 LEA: Millersburg Area SD - 115226103

List total value of contributionsper team

List total value of purchasesper team

Fall Winter SpringTotals $28,622.85 $10,160.40 $12,175.66 $10,618.67 $33,681.04 $32,420.51 $14,567.49 $20,165.00 $81,079.08 $608.80

Uniforms 2

$13,988.75

Supplies and Equipment 3

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.5

Page 3 - Section 1: Financial Information

Other

2013 - 2014 School Year

ATHLETIC EXPENDITURESNON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER

NON-SCHOOL) CONTRIBUTIONS & PURCHASES

Facilities 4Travel 1

Boys

/Girl

s

Tota

l Ann

ual S

choo

l Tea

m

Expe

nditu

res

TeamCoaching Staff Compensation

per Sport per Season

Total Compensation For All Athletic

Trainers Per Academic Year

SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM

Leve

l

Soccer Boys 8th Grade $0.00 $0.00 $0.00

Swimming and Diving Boys 8th Grade $0.00 $0.00 $0.00

Tennis Boys 8th Grade $0.00 $0.00 $0.00

Track & Field (Indoor) Boys 8th Grade $0.00 $0.00 $0.00

Track & Field (Outdoor) Boys 8th Grade $0.00 $0.00 $0.00

Volleyball Boys 8th Grade $0.00 $0.00 $0.00

Water Polo Boys 8th Grade $0.00 $0.00 $0.00

Wrestling Boys 8th Grade $0.00 $0.00 $0.00

Baseball Boys 7th Grade $0.00 $0.00 $0.00

Basketball Boys 7th Grade $1,992.22 $632.50 $117.72 $1,242.00 $0.00 $0.00

Bowling Boys 7th Grade $0.00 $0.00 $0.00

Cross Country Boys 7th Grade $0.00 $0.00 $0.00

Football Boys 7th Grade $0.00 $0.00 $0.00

Golf Boys 7th Grade $0.00 $0.00 $0.00

Lacrosse Boys 7th Grade $0.00 $0.00 $0.00

Rifle Boys 7th Grade $0.00 $0.00 $0.00

Soccer Boys 7th Grade $0.00 $0.00 $0.00

Swimming and Diving Boys 7th Grade $0.00 $0.00 $0.00

Tennis Boys 7th Grade $0.00 $0.00 $0.00

Track & Field (Indoor) Boys 7th Grade $0.00 $0.00 $0.00

Track & Field (Outdoor) Boys 7th Grade $0.00 $0.00 $0.00

Volleyball Boys 7th Grade $0.00 $0.00 $0.00

Water Polo Boys 7th Grade $0.00 $0.00 $0.00

Wrestling Boys 7th Grade $0.00 $0.00 $0.00

Basketball Girls Varsity $12,702.56 $2,370.50 $584.60 $5,245.46 $4,502.00 $3,691.11 $0.00

Bowling Girls Varsity $0.00 $0.00 $0.00

Competitive Spirit Girls Varsity $2,264.35 $660.00 $802.18 $802.17 $528.57 $401.81

Cross Country Girls Varsity $0.00 $0.00 $0.00

Field Hockey Girls Varsity $0.00 $0.00 $0.00

Golf Girls Varsity $0.00 $0.00 $0.00

Gymnastics Girls Varsity $0.00 $0.00 $0.00

Lacrosse Girls Varsity $0.00 $0.00 $0.00

Rifle Girls Varsity $0.00 $0.00 $0.00

Soccer Girls Varsity $7,685.69 $1,170.40 $937.75 $572.67 $1,184.88 $1,329.99 $2,490.00 $13,066.60 $0.00

Softball, Fast Pitch Girls Varsity $5,758.10 $1,189.10 $94.99 $574.86 $1,355.75 $2,543.40 $0.00 $0.00

Swimming and Diving Girls Varsity $1,040.68 $455.68 $43.50 $240.00 $125.00 $176.50 $0.00 $0.00

Tennis Girls Varsity $0.00 $0.00 $0.00

Track & Field (Indoor) Girls Varsity $0.00 $0.00 $0.00

Track & Field (Outdoor) Girls Varsity $9,014.74 $965.50 $649.52 $649.64 $1,755.58 $4,994.50 $1,312.71 $0.00

Volleyball Girls Varsity $5,752.26 $1,881.00 $577.13 $265.05 $1,199.08 $1,830.00 $3,735.50 $0.00

Water Polo Girls Varsity $0.00 $0.00 $0.00

Basketball Girls Jr Varsity $0.00 $0.00 $0.00

Bowling Girls Jr Varsity $0.00 $0.00 $0.00

Competitive Spirit Girls Jr Varsity $1,360.95 $340.00 $510.48 $510.47 $272.28 $206.99

Cross Country Girls Jr Varsity $0.00 $0.00 $0.00

Field Hockey Girls Jr Varsity $0.00 $0.00 $0.00

Golf Girls Jr Varsity $0.00 $0.00 $0.00

Gymnastics Girls Jr Varsity $0.00 $0.00 $0.00

Lacrosse Girls Jr Varsity $0.00 $0.00 $0.00

Rifle Girls Jr Varsity $0.00 $0.00 $0.00

Soccer Girls Jr Varsity $5,889.35 $957.60 $767.25 $468.54 $969.45 $1,066.51 $1,660.00 $10,690.85 $0.00

Softball, Fast Pitch Girls Jr Varsity $4,325.80 $972.90 $77.71 $470.34 $1,109.25 $1,695.60 $0.00 $0.00

Swimming and Diving Girls Jr Varsity $0.00 $0.00 $0.00

Tennis Girls Jr Varsity $0.00 $0.00 $0.00

Track & Field (Indoor) Girls Jr Varsity $0.00 $0.00 $0.00

Track & Field (Outdoor) Girls Jr Varsity $0.00 $0.00 $0.00

Volleyball Girls Jr Varsity $4,164.16 $1,419.00 $435.37 $199.95 $889.84 $1,220.00 $2,818.01 $0.00

Page 24: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 3 of 4 Page 3 - Financial Information

School: Millersburg Area SHS - 1794 LEA: Millersburg Area SD - 115226103

List total value of contributionsper team

List total value of purchasesper team

Fall Winter SpringTotals $28,622.85 $10,160.40 $12,175.66 $10,618.67 $33,681.04 $32,420.51 $14,567.49 $20,165.00 $81,079.08 $608.80

Uniforms 2

$13,988.75

Supplies and Equipment 3

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.5

Page 3 - Section 1: Financial Information

Other

2013 - 2014 School Year

ATHLETIC EXPENDITURESNON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER

NON-SCHOOL) CONTRIBUTIONS & PURCHASES

Facilities 4Travel 1

Boys

/Girl

s

Tota

l Ann

ual S

choo

l Tea

m

Expe

nditu

res

TeamCoaching Staff Compensation

per Sport per Season

Total Compensation For All Athletic

Trainers Per Academic Year

SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM

Leve

l

Water Polo Girls Jr Varsity $0.00 $0.00 $0.00

Basketball Girls Freshman $0.00 $0.00 $0.00

Bowling Girls Freshman $0.00 $0.00 $0.00

Competitive Spirit Girls Freshman $0.00 $0.00 $0.00

Cross Country Girls Freshman $0.00 $0.00 $0.00

Field Hockey Girls Freshman $0.00 $0.00 $0.00

Golf Girls Freshman $0.00 $0.00 $0.00

Gymnastics Girls Freshman $0.00 $0.00 $0.00

Lacrosse Girls Freshman $0.00 $0.00 $0.00

Rifle Girls Freshman $0.00 $0.00 $0.00

Soccer Girls Freshman $0.00 $0.00 $0.00

Softball, Fast Pitch Girls Freshman $0.00 $0.00 $0.00

Swimming and Diving Girls Freshman $0.00 $0.00 $0.00

Tennis Girls Freshman $0.00 $0.00 $0.00

Track & Field (Indoor) Girls Freshman $0.00 $0.00 $0.00

Track & Field (Outdoor) Girls Freshman $0.00 $0.00 $0.00

Volleyball Girls Freshman $0.00 $0.00 $0.00

Water Polo Girls Freshman $0.00 $0.00 $0.00

Basketball Girls 8th Grade $2,209.98 $597.50 $80.98 $1,531.50 $0.00 $0.00

Bowling Girls 8th Grade $0.00 $0.00 $0.00

Competitive Spirit Girls 8th Grade $0.00 $0.00 $0.00

Cross Country Girls 8th Grade $0.00 $0.00 $0.00

Field Hockey Girls 8th Grade $0.00 $0.00 $0.00

Golf Girls 8th Grade $0.00 $0.00 $0.00

Gymnastics Girls 8th Grade $0.00 $0.00 $0.00

Lacrosse Girls 8th Grade $0.00 $0.00 $0.00

Rifle Girls 8th Grade $0.00 $0.00 $0.00

Soccer Girls 8th Grade $0.00 $0.00 $0.00

Softball, Fast Pitch Girls 8th Grade $0.00 $0.00 $0.00

Swimming and Diving Girls 8th Grade $0.00 $0.00 $0.00

Tennis Girls 8th Grade $0.00 $0.00 $0.00

Track & Field (Indoor) Girls 8th Grade $0.00 $0.00 $0.00

Track & Field (Outdoor) Girls 8th Grade $0.00 $0.00 $0.00

Volleyball Girls 8th Grade $0.00 $0.00 $0.00

Water Polo Girls 8th Grade $0.00 $0.00 $0.00

Basketball Girls 7th Grade $2,207.26 $597.50 $78.26 $1,531.50 $0.00 $0.00

Bowling Girls 7th Grade $0.00 $0.00 $0.00

Competitive Spirit Girls 7th Grade $291.70 $145.85 $145.85 $0.00 $0.00

Cross Country Girls 7th Grade $0.00 $0.00 $0.00

Field Hockey Girls 7th Grade $0.00 $0.00 $0.00

Golf Girls 7th Grade $0.00 $0.00 $0.00

Gymnastics Girls 7th Grade $0.00 $0.00 $0.00

Lacrosse Girls 7th Grade $0.00 $0.00 $0.00

Rifle Girls 7th Grade $0.00 $0.00 $0.00

Soccer Girls 7th Grade $0.00 $0.00 $0.00

Softball, Fast Pitch Girls 7th Grade $0.00 $0.00 $0.00

Swimming and Diving Girls 7th Grade $0.00 $0.00 $0.00

Tennis Girls 7th Grade $0.00 $0.00 $0.00

Track & Field (Indoor) Girls 7th Grade $0.00 $0.00 $0.00

Track & Field (Outdoor) Girls 7th Grade $0.00 $0.00 $0.00

Volleyball Girls 7th Grade $0.00 $0.00 $0.00

Water Polo Girls 7th Grade $0.00 $0.00 $0.00

1 Travel (transportation, housing furnished during travel & per diem dining allowances).2 Purchase and/or Replacement of Athletic Uniforms (clothing for practice & competition).3 Purchase and/or Replacement of Equipment and Supplies.4 Expenditures for Construction, Renovation, Maintenance, Rental, Expansion and Repair of Athletic Facilities.

Page 25: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 4 of 4 Page 3 - Financial Information

School: Millersburg Area SHS - 1794 LEA: Millersburg Area SD - 115226103

List total value of contributionsper team

List total value of purchasesper team

Fall Winter SpringTotals $28,622.85 $10,160.40 $12,175.66 $10,618.67 $33,681.04 $32,420.51 $14,567.49 $20,165.00 $81,079.08 $608.80

Uniforms 2

$13,988.75

Supplies and Equipment 3

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.5

Page 3 - Section 1: Financial Information

Other

2013 - 2014 School Year

ATHLETIC EXPENDITURESNON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER

NON-SCHOOL) CONTRIBUTIONS & PURCHASES

Facilities 4Travel 1

Boys

/Girl

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ual S

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Expe

nditu

res

TeamCoaching Staff Compensation

per Sport per Season

Total Compensation For All Athletic

Trainers Per Academic Year

SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM

Leve

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Note: For a facility shared by multiple teams, calculate per team cost by dividing total facility expenditures by number of teams using facility or by using the percentage of time used by each team.

Page 26: INTERSCHOLASTIC ATHLETIC OPPORTUNITIES ......Interscholastic Team Sponsorship Yes If Your Answer To The Above Question Is No, Stop! No more information is needed for this school. Please

Athletic Disclosure Form 1 of 1 Page 4 - Comments

School: Millersburg Area SHS - 1794 LEA: Millersburg Area SD - 115226103Page 4 - Section 1: Comments

• Data for HS & MS included.• Uniforms replaced on a 5-year Cycle.• “Other” includes: Game Expenses, Officials Fees, Tournament Fees, & Security.• Yearbooks only date back to 1944.• Millersburg & Halifax Co-op 3 sports: Golf & Track (Millersburg); Wrestling (Halifax).

Please Provide All Applicable Comments Below

INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 14.52013 - 2014 School Year

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