192 E. Bay St., Ste. 301
Charleston, S.C. 29401Fax (league applications only): (843) 614-4146
APPLICATION: Recreational Program
Use this form to apply to sanction your youth recreational program/league with US Club Soccer.
US Club Soccer offers recreational (“rec”) membership to youth clubs, leagues or programs that are primarily in-house or intramural in nature. Rec programs may be part of an existing (competitive) club, or they may be an entirely separate stand-alone league or program.
Note that, for recreational leagues, players are registered using an Excel roster, and player passcards are not issued. Individual league teams may apply for and receive passcards if needed. Proof of birth is checked by the league. Medical consent forms are required (Form #R002), but copies are retained by the league.
GENERAL INFORMATION:1. Name of rec program/league:
2. Website:
3. Geographic area:
4. Member club(s):
5. President:
a. Address:
b. City/State/Zip:
c. Office Phone:
d. Home Phone:
e. Cell Phone:
f. E-mail:
6. Administrator:
a. Address:
b. City/State/Zip:
c. Office Phone:
d. Home Phone:
e. Cell Phone:
f. E-mail:
g. Describe position:
7. Age groups / gender(s):
8. Team fees:
9. Additional fees, if any:
10. Board of Directors: / Attach as a separate document with names, contact information and soccer affiliation.
11. Disciplinary Committee: / Attach as a separate document with names, contact information and soccer affiliation.
COMPETITION INFORMATION:
12. Total number of teams in the program/league (approximate):
13. Team roster size:
14. Game roster size:
15. Playing format for specific age groups (11 v 11, 8 v 8, etc.)
16. Will players be allowed to “play up:”
17. Date by which teams are required to register:
18. Season(s) / registration year:
19. Number of games:
20. Indicate whether standings are kept:
21. Points system:
22. Describe playoff format, if any:
23. Game venues (provide a brief description; if one location, provide specific venue info and contacts):
GAME OFFICIALS:
24. Source of referees:
25. Referee Assignor:
a. Home Phone:
b. Work Phone:
c. Cell Phone:
d. E-mail address:
ADDITIONAL INFORMATION:
Please provide us with the additional information in electronic format as an attachment:
· Bylaws and other governing rules.
· Disciplinary rules.
· Roster, Competition, and any other rules.
· Please send a final league schedule when available.
If you haven’t spoken with your respective Membership Services Representative about plans for your league, please do so.
By submitting this application, I certify that the information is accurate, and that the league will abide by the bylaws and policies of US Club Soccer and the U.S. Soccer Federation.
It is understood that no player or staff member will be insured until a sanctioning document has been issued, the registration process is complete, payment has been received by US Club Soccer and written confirmation has been received from US Club Soccer that registration has been accepted. This includes US Club Soccer receiving a completed roster in an acceptable format, and an indication that medical authorization forms have been completed.
Coaches will not be eligible to coach nor will they be covered by insurance until the online risk form and the background check has been completed and approved, and passcards have been issued. Youth recreational coaches are required to receive passcards and submit the online risk form each year, and a background check is required at the time of initial registration.
League Officer Signature / DateName and Title
SUBMISSION:
Please return this completed form to or via fax to (843) 614-4146. After reviewing your information, we will contact you to discuss your plans in greater detail and perhaps ask for further information. Additional documents may be included as an e-mail attachment or mailed to the address listed above. Please direct questions to your respective Membership Services Representative.
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