Levy Form

EBSC Participation Levy Claim Form

Please fill in this form to submit your claim for hours worked towards your participation levy commitment. Each family must submit this form to claim for time worked for the swim club. Your postdated cheques will be returned upon completion of the hours worked as per your swimmer's level (see below.)
You will receive an email before each submission period letting you know that the form below has been activated and is ready to use.

Click here for ways to earn your levy hours

The levy Commitment For Each Level

LEVEL	Gold	Platinum	AGE GR. 1	AGE GR. 2	AGE GR. 3	Senior
Highest Level Swimmer	23	23 HRS	38 HRS	45 HRS	61 HRS	74 HRS
Each Additional Swimmer		5 HRS	9 HRS	11 HRS	15 HRS	18 HRS

There are two times when you may submit your claim, these dates are:

Submission date by:

1. Dec. 21, 2009

2. June 10th, 2010

RULES/REGULATIONS

1.	Levy hours should be submitted through the on-line forms only; and submitted only when requested to do so.
2.	Please submit whatever hours you have accumulated to the date of the submission.
3.	In the first submission, if you have completed one-half or more than one-half of your levy commitment, then your first cheque will be returned to you by December 31st of that year. If you have worked off all of your levy commitment, you will still only receive the December levy cheque. You will need to wait until June to receive your other levy cheque.
4.	If you have not reached “one-half” of your levy commitment regardless of hours worked, your first cheque will be cashed.
5.	The 2nd submission for levy hours is June 10 (an email will be sent out on or before this date letting you know the form is activated and ready to use).
6.	Additional time cannot be carried over to the next swim season.
7.	You will not be paid for any time worked over and above your commitment.
8.	If you are signed up for the bingo team, all levy cheques will stay with me until you have completed all bingo commitments, including one summer commitment If you have completed one-half of the bingo commitment and have reach one-half of your levy commitment, you can claim the hours and your December levy cheque will be returned. If you drop out of bingo half way or do not fulfill your bingo commitment, (Bingo co-ordinators call), then your levy cheques will be cashed regardless of hours completed. Please note, everyone on the bingo team, is required to work 1 summer bingo. Once you have completed the summer bingo, please let the levy coordinator know and you can either to and pick up your cheque or it can be shredded.

Online Levy Form

Please provide the following information:

(* indicates a required field.)

*Parent's Name (cheque writer)

Swimmers' Names *Last *First

Total Family Commitment * HRS

Email Address *

Please indicate the club activities where you worked towards your levy commitment (eg. Official/Timer at a swim meet, Fundraising organizer, Bingo leader etc.) If you require additional fields to complete your submission please submit a second form and indicate that it is the second portion of your submission (put that information in the comments section).

	Activity description, location & date (e.g. Timer, EBSC meet, Nov. 2007)	Hours
1.		HRS.
2.		HRS.
3.		HRS.
4.		HRS.
5.		HRS.
6.		HRS.
7.		HRS.
8.		HRS.
9.		HRS.
10.		HRS.
11.		HRS.
12.		HRS.
13.		HRS.
14.		HRS.
15.		HRS.
16.		HRS.
17.		HRS.
18.		HRS.
19.		HRS.
20.		HRS.
21.		HRS.
22.		HRS.
23.		HRS.
24.		HRS.
25.		HRS.

Total hours worked first session	HRS.
Total hours worked second session	HRS.
Total hours worked for year	HRS.

COMMENTS:

If you have completed the form and are ready to submit, please click here
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