Event Report Form

Shire of Wyewood

Today’s Date: __________________________________

1. General Information

Event name: __________________________________

Event location: __________________________________

Address: __________________________________

Site contact name and phone number: __________________________________

Was it listed in The Crier: Yes No

Date(s) (mm/dd/yyyy): __________________________________

Times site was open/closed: __________________________________

Camping: Yes No

Indoor: Yes No

Feast: Yes No

Were the site amenities adequate? Yes No (Why? Report in Section 8)

Enough parking? Yes No (Why? Report in Section 8)

Enough volunteers? Yes No (Why? Report in Section 8)

2. Staff Information

Autocrat (SCA Name):
Autocrat (Modern Name):
Phone Number:

Co-autocrat (SCA Name):
Co-Autocrat (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

Marshal in Charge (SCA Name):
M.I.C. (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

Chirurgeon in Charge (SCA Name):
Chirurgeon in Charge (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

Constable in Charge (SCA Name):
Constable in Charge (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

Chatelaine (SCA Name):
Chatelaine (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

Chief Cook (SCA Name):
Chief Cook (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

Merchant Coordinator (SCA Name):
Merchant Coordinator (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

Herald (SCA Name):
Herald (Modern Name):
Phone Number:
Report Attached?	Yes No N/A

3. Activities

Check all that apply	Activity	Number of Participants	Winner (if applicable)
	Heavy
	Rapier
	Tournament
	War
	Archery
	Bardic
	Arts & Sciences
	Classes
	Other:

4. Budget

Amount Approved	Date approved



Total Budget

5. Gate Records

U.S. Funds

	Gate Fee	# of Attendees	Subtotal for each line
Adult member	$		$
Adult non-member (NMS Fee charged)	$		$
Child member	$		$
Child non-member (no NMS fee charge if reduced fee at gate)	$		$
Family cap member	$		$
Family cap non-member	$		$
Compensated gate fees
Adults
Children
		Subtotal	$
		Non-member fee to Kingdom	$

6. Actual Income

U.S. Funds

Gate Income	$
Feast Income (if applicable)	$
Other(s) [Please List]
Total Income	$

7. Expenses

Site rental and deposit	$
Insurance certificate (if applicable)	$
Feast	$
Port-a-potties	$
Prizes	$
Other	$
Other	$
Total Expenses	$

Total Income = $___________________________________________

Total Expenses = $___________________________________________

Total Profit / (Loss) = $___________________________________________

8. Notes

What challenges did you face with this event?

How would you avoid these challenges?

What worked well with this event?

What would you do differently?

Notes on site

Suggestions for next time

Signature (Autocrat) ___________________________________________

Date Signed _________________________________________

Signature (Seneschal) ___________________________________________

Date Signed _________________________________________

Signature (Exchequer) ___________________________________________

Date Signed _________________________________________

Form last updated: 3 September 2003