Financial Responsibility Form

"*" indicates required fields

I am the:*

Team/Delegation Manager

Finance Chair

Area*

Team/delegation code*

Team/delegation name*

Team/Delegation Manager name*

First Last

Finance Chair name*

First Last

Finance Chair mailing address*

Street address City State ZIP code

Email address*

Primary phone*

Primary phone type*

Secondary phone

Secondary phone type

Teams/delegations fall under one of the two categories below. Please check the one that applies to your situation.

Volunteer-based delegations – The delegation raises and expends funds under the name of Special Olympics Minnesota. The Finance Chair will comply with the Centralized Accounting policies as determined necessary by the State Office. All monies raised and expended in the name of Special Olympics Minnesota will be documented according to accounting policies and procedures set by the State Office.

Organization-based delegations – The team/delegation does not raise funds under the name of Special Olympics Minnesota. Centralized Accounting will be used for tracking of tournament and training fees incurred at Special Olympics Minnesota events. Finance Chairs will receive a statement of fees incurred and it is the responsibility of the Finance Chair to ensure that these fees are paid to Special Olympics Minnesota.

Agreement

The agreement has been fully explained to me, and I have read the Finance Guide set forth by Special Olympics Minnesota. I fully understand these provisions and will comply with each in the name of the team/delegation.

I acknowledge that for the purposes of this form, clicking the submit button functions as my legal signature.