Use this form to create a new assessment record for a {{ $info['form']->school_year }}-{{ intval(substr($info['form']->school_year, 2, 2)) + 1 }} wrestling program. All fields are required. The totals will be automatically updated. Click Add when finished to add this record to your reconciliation form.

{{ Form::open(array('url' => url('/forms/bia/' . $info['form']->id . '/add-assessment'), 'method' => 'POST', 'style' => 'font-size: 11pt;')) }} {{ Form::hidden('redirect', url('/forms/bia/' . $info['form']->id . '/edit')) }} {{-- Activity Program --}}

{{-- Assessment Type --}}

{{-- Number PAssed/Failed --}}

Number of Hydration Assessments

{{ Form::text('passed', null, array('style' => 'width: 35px;', 'maxlength' => '2', 'data-numbers-only' => 'integer')) }}
{{ Form::text('failed', null, array('style' => 'width: 35px;', 'maxlength' => '2', 'data-numbers-only' => 'integer')) }}
{{ Form::text('assesses', null, array('style' => 'width: 35px;', 'maxlength' => '2', 'readonly' => 'true')) }}


{{ Form::text('cost', null, array('style' => 'width: 50px;', 'data-numbers-only' => 'float')) }}
Cost per assessment, up to $4.50.


{{ Form::text('mileage', null, array('style' => 'width: 75px;', 'data-numbers-only' => 'float')) }}
Not to exceed IRS mileage rate of $0.56 / mile.

Please make contact with any school that will be paying a mileage fee prior to doing the assessment. Agree upon a mileage fee beforehand and enter in the total amount of mileage you will be reimbursed in this mileage field.
{{ Form::text('total', null, array('style' => 'width: 100px;', 'readonly' => 'true')) }}
{{ Form::close() }}