Print Form
MTAA Coach Clearance Refund Form |
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| Name: | ________________________________________________________________________________________ | ||||||||
| Address: | ________________________________________________________________________________________ | ||||||||
| Street | City | State | Zip | ||||||
| Telephone | |||||||||
| Home: | ____________________________________ | ||||||||
| Cell: | ____________________________________ | ||||||||
| Coaching Sport & Level (Circle One) | |||||||||
| Softball: | 8U | 10U | 12 U | ||||||
| Baseball: | T-Ball | Coach Pitch | Knee-Hi | Mite | Diamond | Fall Ball | |||
| Football: | Flag | Knee-Hi | Mite | Midget | |||||
| Cheerleading: | Flag | Knee-Hi | Mite | Midget | Competition | ||||
| Field Hockey: | Junior | Senior | |||||||
| Boys Basketball: | Knee-Hi | Mites | Junior | Travel | |||||
| Girls Basketball: | Gr 3 & 4 | Gr 5 & 6 | Travel | ||||||
| Wrestling: | All Ages | ||||||||
| Coaching Position (Circle One) | |||||||||
| Head | 1st Assistant | ||||||||
| Please complete all of the above sections and turn into MTAA Treasurer at a General Board Meeting or mail the form and a self-addressed stamped envelope to: | |||||||||
| M.T.A.A. | |||||||||
| Attn: Coach Refund | |||||||||
| PO Box 127 | |||||||||
| Temple, PA 19560 | |||||||||
| Your refund will be mailed out within 15 days of receipt | |||||||||
| M.T.A.A. Use Only | |||||||||
| Date Issued | Check # | Check Amount | Initials | ||||||
