Business Information:

Name: _____________________________________________________________________

Address: ___________________________________________________________________

Telephone: (______) _______________Authorizing Person:____________________________

                                                                                                                                                          Printed

Authorizing Person Signature: ____________________________________________________

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Team Information:

Team Name: ____________________________________________________________

Team Age Group:_______________________  Circle One:     BOYS        or     GIRLS

Do you have a child or coach on this team?              YES         or         NO

Childs Name:_______________________________________________________________ or

Coach Name: _________________________________________________________________

School Affiliation: ______________________________________________________________

Are you the coach or do you wish to be the coach?       YES         or         NO

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Sponsor Fee:

$ 250.00 for a single team sponsor.

$ 50.00 for one year subscription to our web site, and we can link to your site!

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OFFICE USE ONLY:

Check Number: _______________________Amount Paid: $ _________________________

Person receiving donation: _____________________________________________________

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T. Y. S. A. IS A NON-PROFIT ORGANIZATION, UNDER SECTION 501 (c) 3 OF THE INTERNAL REVENUE CODE. YOUR DONATION IS TAX DEDUCTIBLE. OUR TAX ID. NUMBER IS 94-2558789.