Contact Name:_____________________________________________

Mailing Address:____________________________________________

City:____________________________ Zip:_____________________

Phone: (H)________________________ (W)_____________________

Fax:_________________________ E-mail:______________________

Sponsor Name:_____________________________________________

PLEASE PRINT FOR UNIFORMS

_____ YES – I want to sponsor my child’s team

Child’s Name:______________________________________

Division:__________________________________________

Signee name:______________________________________

Please print

Signee Signature:__________________________________

Please mail Sponsorship Application with $275.00 payment to:

Vince Tully

Sponsorship Director

La Costa Youth Organization

7668 El Camino Real 104-610

Carlsbad, CA 92009

e-mail: sponsorship@lcyo.org

Tax I.D. # 33-0214056

Please make checks payable to LCYO

SPONSORSHIP APPLICATIONS AND PAYMENT MUST BE RECEIVED BY December 31, 2006