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Holder name: <br />Auth lD Event Date <br /># Participants # Spectators # Staff Participant Fees Spectator Fees A. Total Fee Receipts <br />Concession Sales:B. TotalSales Receipts <br />Gross Receipts: (A+ B= C)c. <br />Qualifying expenses (prizes purchased and awarded)5 <br />Total Cost of Awarded Prizes:D <br />Adjusted Gross Receipts (C - D = E)E <br />Adjusted Gross Receipts x 3 %(Two or more events) orSYo (One time event) =F <br />Amount previously paid for this permit G <br />Amount payable to USDA Forest Service (F - G = H)H. <br />RECREATION EVENT - POST USE REPORT <br />Permit holder must com lete this re rt and return to within th 3 after the event date <br />Describe any problems such as crowd control, crimes, hazards, and accidents {injuries, property damage); etc. <br />(Print name of individual submitting information)(Address) <br />(Signature) <br />(Telephone no. - business)(Date) <br />(Telephone no. - home)