Stateline Sports Group Fundraiser Pay Out Form

Stateline Sports Group Fundraiser Pay Out Form
Please read Stateline Sports Group Fundraiser requirements and reporting policies before completing this form.

COACHES INFORMATION & POLICIES

Fundraiser Payout Instructions

To ensure a smooth and accurate payout process for your team fundraiser, please follow these steps:

Complete the Fundraiser Payout Form

Teams must fill out the designated form when requesting payouts for their fundraiser.
Verify Information

Double-check all details for accuracy before submitting the form. This includes amounts, team names, and any other required fields.
Submit the Form

If you have more than five payouts, please submit a second form to accommodate the additional entries.
Final Submission

Please note that complete addresses MUST be provided for each winner.

Once verified, submit the form as instructed.
Thank you for your cooperation in maintaining an accurate and efficient process!
Person Submitting*

First NameLast Name
Email*
example@example.com
Team*

10U Fury White11U Fury Red12U Fury White14U Fury White14U Fury Red15U Fury Black15U Fury White16U Fury White16U Fury Red18U Fury White
Fundraiser Name (Description)*
Name Of Recipient # 1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount To Be Paid*
Name Of Recipient # 2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount To Be Paid
Name Of Recipient # 3

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount To Be Paid
Name Of Recipient # 4

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount To Be Paid
Name Of Recipient # 5

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount To Be Paid
Notes
Should be Empty: