Club Information
CLUB CODE:	___ ___ ___	Club Web Site:
President:		Phone:	Email:
Registrar:		Phone:	Email:
Field Assignor:		Phone:	Email:
Treasurer:		Phone:	Email:

Team Declaration Voucher
Age Div	# of Teams	Affiliate Fee/Team	Associate Fee/Team	Fee Due	Fee Paid
U8		$30.00	$150.00
U9		$35.00	$150.00
U10		$35.00	$150.00
U11		$80.00	$150.00
U12		$80.00	$150.00
U13		$80.00	$150.00
U14		$80.00	$150.00
U15		$80.00	$150.00
U16		$80.00	$150.00
U17		$80.00	$150.00
U18		$80.00	$150.00
U19		$80.00	$150.00
				Sheet Total:
		Check No.:		Check Amount:

REMINDER: Affiliate clubs declaring teams in GCFYSL are responsible to have a representative at each league meeting. Failure to be represented is punishable by a $50.00 fine.

_____________________________________________________________________________DATE:_______________

CLUB OFFICIAL’S SIGNATURE (As appears on FYSA Affiliation Form)

(This portion is to be completed by the GCFYSL Treasurer and returned to the club representative at declaration)

	GCFYSL Declaration Receipt
		Date Received:
Check No.:		Check Amount:
Paid By:
Received By: