AYSO 1463 Tournament Check Request
USE THIS FORM TO REQUEST A TOURNAMENT CHECK. REQUEST NEEDS TO BE MADE NO LATER THAN SEVEN BUSINESS DAYS BEFORE THE TOURNAMENT APPLICATION DEADLINE.
HEAD COACH *
Your answer
TEAM NUMBER *
Please add your AYSO 1463 Provided Team Number (ie. 401 or M2)
Your answer
TEAM DIVISION *
PERSON REQUESTING THE CHECK *
Your answer
REQUESTER EMAIL ADDRESS *
Your answer
TOURNAMENT NAME *
Your answer
TOURNAMENT REGION *
Only include the region number in your answer. For example: 1463
Your answer
TOURNAMENT DATES *
Format: 02/27 - 02/29/2019
Your answer
TOURNAMENT FEE *
Your answer
REFEREE DEPOSIT AMOUNT *
Your answer
Do you anticipate fulfilling your Referee Assignments and that the Referee Deposit will be refunded by the Tournament? *
CHECK MADE OUT TO *
Your answer
MAILING ADDRESS *
IF PICKING CHECK UP, PLEASE WRITE PICK-UP
Your answer
CHECK AMOUNT *
Your answer
Are funds coming from your team's account or will you be providing payment? *
If funds are being provided by the team or reimbursed to AYSO 1463, anticipated reimbursement date
Your answer
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