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Get Tulalip Tribes Youth Services

TULALIP TRIBES YOUTH SERVICES FINANCE 6406 Marine DR Tulalip WA 98271 2nd Floor New Admin 360 716-4920 - fax 360 716-0616 - email tnelson tulaliptribes-nsn.gov Universal Youth Services Application Student Name Enrollment Address Age City Grade State Zip School/Activity Athletic Fee - Clothing/Shoe Voucher Mark 1 Choose Semester NIKE 1st Quarter Jan. 1st - Apr. 1st Footlocker Big 5 2nd Quarter May 1st - Aug. 1st 45. 00 Pre-3 90. 00 4-12 3rd Quarter Sept. 1st - Dec* 31st Activity Fee - Extracurricular Recreation Activities Variety of Lessons Camp Fee - Sport Camps or General Summer Camp Youth Travel - Please Attach Proper Back-Up Youth Travel Form Enrichment - Attach a Purpose with this request along with a W-9 Form Enrichment Form Regional / Nation Level Sponsorship - Must attach attach letter from parent or guardian why the money is needed proof of participation at a regional/national level original letter from coach or coordinator that is signed and dated proof of grade average and good attendance documentation of expenses W-9 from organization that money will be distributed to. Reimbursement - If requesting Reimbursement please attach Original Receipt CHECK PAYABLE TO Vendor/Tribal Amount Requesting PLEASE ATTACH PROPER DOCUMENTATION Uncompleted Forms will cause delays in processing time. Unreturned REQUIRED receipts will be considered non-compliance and will result in NO Further Funding and/or Payroll or Per Capita DEDUCTIONS* REQUEST WILL NOT BE PROCESSED UNLESS THE FORM IS COMPLETELY FILLED OUT BY PARENT/ LEGAL GUARDIAN SIGNED BY COACH OR COORDINATIOR* Coach/Coordinator Phone Date Parent / Guardian Youth Svcs. 1st 45. 00 Pre-3 90. 00 4-12 3rd Quarter Sept. 1st - Dec* 31st Activity Fee - Extracurricular Recreation Activities Variety of Lessons Camp Fee - Sport Camps or General Summer Camp Youth Travel - Please Attach Proper Back-Up Youth Travel Form Enrichment - Attach a Purpose with this request along with a W-9 Form Enrichment Form Regional / Nation Level Sponsorship - Must attach attach letter from parent or guardian why the money is needed proof of participation at a regional/national level original letter from coach or coordinator that is signed and dated proof of grade average and good attendance documentation of expenses W-9 from organization that money will be distributed to. Reimbursement - If requesting Reimbursement please attach Original Receipt CHECK PAYABLE TO Vendor/Tribal Amount Requesting PLEASE ATTACH PROPER DOCUMENTATION Uncompleted Forms will cause delays in processing time. Reimbursement - If requesting Reimbursement please attach Original Receipt CHECK PAYABLE TO Vendor/Tribal Amount Requesting PLEASE ATTACH PROPER DOCUMENTATION Uncompleted Forms will cause delays in processing time. Unreturned REQUIRED receipts will be considered non-compliance and will result in NO Further Funding and/or Payroll or Per Capita DEDUCTIONS* REQUEST WILL NOT BE PROCESSED UNLESS THE FORM IS COMPLETELY FILLED OUT BY PARENT/ LEGAL GUARDIAN SIGNED BY COACH OR COORDINATIOR* Coach/Coordinator Phone Date Parent / Guardian Youth Svcs.

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