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192 E. Bay St., Ste. 301

Charleston, S.C. 29401

Fax (league applications only): (843) 614-4146

APPLICATION: Adult League

Use this form to apply to US Club Soccer for adult league sanctioning (U-20 and over). Please download it, fill in the information, and return it via e-mail 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.

GENERAL INFORMATION:
1.  Name of league:
2.  League Web site address:
3.  Geographic area:
4.  League member clubs:
5.  League President:
a.  Address:
b.  City/State/Zip:
c.  Office Phone:
d.  Home Phone:
e.  Cell Phone:
f.  E-mail:
6.  League 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.  League team fees:
9.  Additional fees, if any:
10.  League Board of Directors: / Attach as a separate document with names, contact information and soccer affiliation.
11.  League Disciplinary Committee: / Attach as a separate document with names, contact information and soccer affiliation.
COMPETITION INFORMATION:
12.  Member teams: / Attach as a separate document and include team information (i.e. men’s, women’s, over 30/40, co-ed, etc.) and soccer affiliation for each team. If your list is incomplete, please submit the final list before the start of league play.
13.  Total number of teams in the league (approximate):
14.  Team roster size:
15.  Game roster size:
16.  Playing format for specific groups (11 v 11, 8 v 8, etc.)
17.  Date by which teams are required to register for league play:
18.  League seasonal year:
19.  Number of league games:
20.  Indicate whether standings are kept:
21.  Points system:
22.  Describe playoff format, if any:
23.  Dates of playoff for each age group:
24.  Game venues (provide a brief description; if one location, provide specific venue info and contacts):
GAME OFFICIALS:
25.  Indicate source of referees:
26.  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.

**THE FOLLOWING CONDITIONS APPLY TO TEAMS IN WHICH YOUTH PLAYERS (U-20 AND BELOW) ARE REGISTERED: TEAMS WITH YOUTH PLAYERS MUST HAVE A CARDED HEAD COACH. COACHES WILL NOT BE ELIGIBLE TO COACH NOR WILL THEY BE COVERED BY INSURANCE UNTIL THE ON-LINE RISK FORM HAS BEEN COMPLETED, THE BACKGROUND CHECK HAS BEEN COMPLETED AND THE MEMBERSHIP CARD HAS BEEN ISSUED. IF THE HEAD COACH ALSO PLAYS HE/SHE MUST ALSO BE CARDED AS A PLAYER.

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 and the registration process is complete.

The following conditions apply to teams in which youth players (U-19 and below) are registered: Teams with youth players must have a head coach that holds a valid passcard. 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. If the head coach also plays, he/she must be carded as a player as well.

League Officer Signature / Date
Name and Title

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