MID HUDSON ATHLETIC LEAGUE

http://www.mhal.info

Donald V. Andrews - Chairperson
228 Valley View Drive; Wallkill, NY 12589
Phone: 895-9309  Fax: 895-9309

Peter Meoli - Athletic Coordinator 50 Carlo Drive; Kerhonkson, NY 12446 Phone: 626-0062 Fax: 626-0062	Dennis Burkett – Assistant Chair Person 12 Enterprise Road, New Paltz 12561 Phone: 845-475-2565
Maria Meoli - Program Assistant 3 Countryman Lane Accord, NY 12404     Phone: 626-3245
Pat Meoli - Central Payments Coordinator

GYMNASTICS OFFICIALS’ FEE FORM

DATE OF CONTEST: ________________ MATCH # ________________________

HOME TEAM: ________________________ VISITORS: ________________________

VARSITY FEE: __________ MODIFIED FEE: _____________

ADDITIONAL FEES: ________________________________________________________________________

JUDGE (PRINT) __________________________________ TOTAL FEE: ________________

JUDGE (PRINT) __________________________________ TOTAL FEE: ________________

JUDGE (PRINT) __________________________________ TOTAL FEE: _________________

JUDGE (PRINT) __________________________________ TOTAL FEE: ________________

PAYMENT VOUCHERS WILL NOT BE SENT TO OFFICIALS UNLESS THIS FORM IS COMPLETED AFTER EACH MATCH. SEND THIS FORM TO PETE MEOLI WITHIN 5 DAYS AFTER THE MATCH.