Instructions:

  1. Fill in the fields in the form below
  2. Click the "Submit" button at the bottom of the form
  3. Print the form
  4. Mail the printed form with your check made payable to "Jericho Athletic Association" to:
Jericho Athletic Association
PO Box 152
Jericho, NY 11753

Sponsorship will support the following sports:
Basketball, Softball/Baseball, and Soccer

Fee is $450 per sponsorship.
Note: All fields are required.

Child's last name:
Child's first name:
Gender:
 Female Male
Present Grade:
 Pre-K Kindergarten
1st 2nd 3rd 4th 5th 6th
Name of sponsor:
Street address:
City:
State, Zip

Home phone:
Business phone:
eMail Address:
Please indicate which three (3) sports/grades you would like to sponsor:
*Every effort is made to honor special requests.
   

 

 

 

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