Empire United Competition Check Request Form

Please use this form to request payment for registration or referee fees for your team's competitions, indoors and outdoors.

Team (ex 14 Boys Blue)
Manager Name
Event
Event Location
Registration Fee	YesNo
Registration Fee Amount
Make Registration Check Out To
Address to Mail Registration Fee
Referee Fees	YesNo
Referee Fee Amount
Make Referee Check Out To
Address to Mail Referee Fee
Notes
Email Address