AYSO 11/L Management Training

Please provide the following information:

Class
First Name
Last Name
Address
City
State
Zip Code
Home Phone
Cell Phone
E-mail Address
My AYSO Section is
My AYSO Area is
My AYSO Region is

The fee for this course will be billed to the participant's region if coming from Area 11-L.

If coming from outside of Area 11-L, payment in advance will be required.

Instructions for mailing a money order, cashier, personal, or regional check payable to AYSO Area 11-L,
in the amount of $35.00 are on the following confirmation page.

I have reviewed and confirmed all the above and am ready to submit this application.

AYSO 11/L Management Training

AYSO 11-L Revised: 01/31/2012

AYSO 11-L
Revised: 01/31/2012