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2. 
4. Name of Athletic Association*
5. EIN*
6. Application Purpose:*

   1. New Application
   2. Annual Requirement Submission
8. Organization Contact Name*
9. Email Address*
11. Phone Number
12. Website
13. Other Social Media
17. Eligible Age or Grade Range of Participants
19. Current Year Season 1
20. Start Date - End Date
    Start Date - End Date Start Date

    —

    Start Date - End Date End Date
21. Registration Time Frame
    Registration Time Frame

    Registration Time Frame
23. Current Year Season 2
24. Start Date - End Date
    Start Date - End Date Start Date

    —

    Start Date - End Date End Date
25. Registration Deadline
    Registration Deadline Start Date

    —

    Registration Deadline End Date
29. Current Year Board Members
31. Board Member Name 1
32. Title 1
33. Email 1
34. Term 1
    Term 1 Start Date

    —

    Term 1 End Date
36. Board Member Name 2
37. Title 2
38. Email 2
39. Term 2
    Term 2 Start Date

    —

    Term 2 End Date
41. Board Member Name 3
42. Title 3
43. Email 3
44. Term 3
    Term 3 Start Date

    —

    Term 3 End Date
46. Board Member Name 4
47. Title 4
48. Email 4
49. Term 4
    Term 4 Start Date

    —

    Term 4 End Date
51. Board Member Name 5
52. Title 5
53. Email 5
54. Term 5
    Term 5 Start Date

    —

    Term 5 End Date
56. Name 6
57. Title 6
58. Email 6
59. Term 6
    Term 6 Start Date

    —

    Term 6 End Date
61. Additional Officers or Other Information
65. Copy of Insurance

    With South Fayette Township listed as additional insured

66. IRS Determination Letter or Proof of Non-Profit 501(c) status
67. Proof of Bank Account in Organization Name
68. Previous Year Roster

    Must show 90% residents

70. Previous Fiscal Year
    -- Select One --20252026202720282029203020312032203320342035
71. Previous Year Finacial Summary Statement

    Detailed year-end financial statement with:

    • Organization's revenues
    • Breakdown of the organization's expenditures
    • Fund balances
    • Signed by the President and the Treasurer of the Organization
73. Januray statement
74. February statement
75. March statement
76. April statement
78. May statement
79. June statement
80. July statement
81. August statement
83. September statement
84. October statement
85. November statement
86. December statement
Leave This Blank:


88. 1. Receive an email copy of this form.
89. Email address

    This field is not part of the form submission.

90. Submit Submit and Print

* indicates a required field