Sport Club Trip Itinerary Form

Due at least five (5) business days prior to going on any club related trip.

*indicates required fields

*Name of Club:
 *Name of Individual Completing Form:
   

EVENT INFORMATION
*Name of Event:
 *Event Dates:
*Destination (city, state):
 Hosting University/College:
  
Event Information Website:
    
     

TRAVEL INFORMATION

    
Departure from Georgia State  
*Date: *Time:  
Return to Georgia State     
*Date:   *Time:    
     
Type of Transportation  (indicate number for each)   
*University Van:
 *Rental Van:
  
*Private Cars:
 		 *Airplane Flights:
 		  
     
Lodging Accommodations    
*Type of Lodging (examples: camping, staying with friends/family, hotel):  
   
*Name of Lodging:
 Address:
  
Phone:
 Number of Rooms:
 		  
     

Trip Leader
This is the person who will be paying for the expenses listed below.  All receipts must have the name of the person listed as Trip Leader.

  
*Name of Trip Leader:
 *Panther #:
  
*Email:
 *Cell Phone #:
  
*Address (currently on file with GSU) :  
   
*Travel Roster (press "enter" after each name):
  
   

EXPECTED EXPENSES

Enter expenses for items below if you are seeking reimbursement for that expense.  If you are not seeking reimbursement, then leave blank or enter 0.  Gas receipts are not always reimbursed, and will vary based on each case.

  
Hotel: $ Entry Fee: $  
Airfare: $ Gas Receipts: $  
     

ADDITIONAL NOTES

    
 
     
 

If you should experience problems completing and/or submitting your form, please contact Ty Verdin at (404) 413-1764 or sportclubs@gsu.edu for assistance.