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Tech High School Athletic Officials Voucher for Payment of Services
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* Indicates required question
Official's First and Last Name:
*
First and Last Name REQUIRED
Your answer
Official's Address
*
(PLEASE include your city (e.g 1000 44th Ave N, St. Cloud)
Your answer
Official's Phone Number:
*
Your answer
Email Address:
*
Your answer
Social Security Number:
*
You may enter "On File" if you have previously submitted your SSN on an officials voucher this school year.
Your answer
Direct Deposit Info On File?
*Direct Deposit information is required to get paid. If you have not completed this form, please email
Lori.Mandelko@isd742.org
to get the necessary form.
Yes
No
Clear selection
Date of Contest:
*
MM
/
DD
/
YYYY
Sport or Activity:
*
Choose
Baseball
Basketball, Boys
Basketball, Girls
Dance
Football
Gymnastics
Hockey, Boys
Hockey, Girls
Soccer, Boys
Soccer, Girls
Softball
Swimming and Diving, Boys
Swimming and Diving, Girls
Track and Field
Volleyball
Wrestling
Other
Opponent:
*
Your answer
Level of Competition:
*
Check "Other" to add details about contest (e.g. Dual, 5th Quarter, etc)
Varsity
JV
JV1
JV2
Sophomore/B Team
9th Grade/C Squad
Other: If selecting this option, you must add details below.
Required
"Other" Information regarding Level of Competition
Enter "Other" details here (e.g. Dual, 5th Quarter, Center Official, Line Official etc.)
Your answer
Amount Due
*
Please use Dollar Amount, not "Contract Rate"
Your answer
We would like to THANK YOU for all you do to support Tech Activities. None of this would be possible without Officials. We truly appreciate you!
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