AYSA State Patch Request
For Alaska Full Member Clubs/ Associations
Seasonal Year- November 1, 2018 – October 31, 2019
Form to be completed by Club Administration Only
(One Form Per Seasonal Year) > Alaska Youth Soccer- State Office
Club/Association: *
Your answer
Club Contact Name: *
Your answer
Club Contact Email: *
Your answer
Club Contact Phone Number: *
Your answer
Registered Competitive Players: *
Number of registered players within your Club.
Your answer
Patch Quantity Request: *
Patch quantity should be comparable to current AYSA registered players within your club. Alaska Youth Soccer kindly requests that all patches get used within their competitive program.
Replacement Patches: (Quantity Request)
Lost or destroyed patches must be replaced, and will be the financial responsibility of the Competitive Club.
Your answer
Shipping Address: *
Club/Association Mailing Address Only
Your answer
Club/Association Signature: *
Your answer
Confirmation Email: *
Required- accessible email in order to receive acceptance confirmation..
Your answer
*
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AYSA Team Uniform Policy: PLP08082006
Alaska Competitive Club Teams are to use the appropriate approved Alaska Youth Soccer State patch placement on Club Team Uniforms. Alaska Youth Soccer requires the State Patch to be worn on the (HOME) uniform of players registered with AYSA. The State Patch must be placed on the RIGHT SLEEVE of the (HOME) jersey approximately 1’ above the bottom edge of the sleeve. The patches will be supplied to each registered Competitive Clubs on a annual basis. Lost or destroyed patches must be replaced, and will be the financial responsibility of the Competitive Club.
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