2019 Spring SU IRL Medal Request Form
League Medals are available to order for teams competing in the Southern Utah Inter Regional League.

Only teams who have all their scores entered, games played, and in the proper standing of their division are eligible for medals.

Order limit is roster maximum and two coaches.
U9-U14 medals are available for first and second place teams only
U15-&up medals are available for first place teams only

To ensure that your team receives the correct amount of medals and placement, please fill out the form completely. Medals will be available for pick up or to be May 13, 2019

There is a $16 fee if you would like your medals shipped to you. Please call the state office to make your shipping payment.

All medals must be picked up by July 19, 2019

Team Name (in Affinity) *
Your answer
Team ID # (in Affinity ex. ) *
Your answer
Boys/Girls *
Age Group *
Division (ex: Gold, Silver, Bronze) *
Your answer
# of Players *
Your answer
# of Coaches *
League Standing (** Age Groups U15 and older only qualify for first place medals**) *
Email Address *
Your answer
Phone Number *
Your answer
How Will you receive your medals? *
If you would like your medals mailed to you, please fill out the mailing address and zip code below. Then call the UYSA State Office to pay the $16 postage fee. 801-307-5150
Your answer
Medal request orders are due no later than December 1, 2018. All medals must be picked up by January 1, 2019
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