RUSH WI W

2016 CRUSA/RUSH WI WEST VOLUNTEER REFUND REQUEST FORM The volunteer fee is refundable upon completion of volunteer service to the soccer club. You must apply for the refund using this Volunteer Refund Request Form. Deadline for refund request is November 30, 2016 Please mail completed form to: CRUSA PO Box 2714 La Crosse, WI 54602-2714

Parent Name Street Address City, State, Zip Hours Worked Volunteer Fee

Email Phone

$75

$160

Minimum 4 hours for $75 fee or 8 hours for $160.00. No partial payments will be made. Circle one of the fees so you will be properly reimbursed.

PLEASE CHECK ALL AREAS WHERE YOU VOLUNTEERED YOUR TIME THIS SOCCER SEASON Team Involvement

Fields for Kids Crew

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Coach Assistant Coach Parent Rep / Team Manger

Team Age Group ________________

Spring Work Day – Field Opening Fall Work Day – Field Closing Soccer Field Lining/Painting Trash Pick-up Jamboree Fields Setup / Date ____________

Uniforms

Administration

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Youth Academy Program Recreational League Team CRUSA Classic Team CRUSA Classic High School Organize and Distribute

Website Administrator Registration – Data Entry Assistant Email Monitoring Program Coordinator Board Member or Committee Member

Fundraising

Tournament Volunteer

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Player and Fan Apparel Field Sponsorship Mother’s Day Flower Baskets Team Photos Moka Coffee Bean Fundraiser Grant Writing Other: ______________________

Referee Assistance     

Recreational League Friday Night Jamborees Sat/Sun Referee Management at FFK Event Referee Check-in Rush WI West Referee Coordination

Event/Field Set-up or Clean-up Registration Concessions Medical Trainer Assistance Volunteer Coordinator Parking Referees Field Marshal Co-op Credit Union Coulee Cup Honda Motorwerks Classic