South Florida United Youth Soccer Association

Club Information Form (Addendum)

Early SeasonRegular SeasonLate Season

Club Name:Club Code:

ADDRESS:

CITY, ST ZIP:

Club Rep:Alternate Club Rep:

Address:Address:

City, ST Zip:City, ST Zip:

Hm Phone:Wk Phone:Hm Phone:Wk Phone:

Mobile:Pager:Mobile:Pager:

Email:Email:

Club President:Assignor:

Address:Address:

City, ST Zip:City, ST Zip:

Hm Phone:Wk Phone:Hm Phone:Wk Phone:

Mobile:Pager:Mobile:Pager:

Email:Email:

TEAM DECLARATIONS
Team Code /
Age
/ Division / Coach / Phone / Email

Park & Field Information

(Note: Each Field available for SFU use at a given park, must be listed as a separate field below each park. If a field can be used for both U9/10 and U11+ then check both boxes. If your club plays at more than one park, complete additional copies of the section below for each park/field combination)

Park Name:

Park Address:

Park City, State Zip:

Park Phone:

Field (Name/Number/Location):U9/10U11Lights?

SATURDAY Earliest Start:Play Complete By:Preferred Start:

SUNDAYEarliest Start:Play Complete By:Preferred Start:

FRIDAY EVEEarliest Start:Play Complete By:Preferred Start:

MON-THUR EVEEarliest Start:Play Complete By:Preferred Start:

Other Requirements:

Field (Name/Number/Location):U9/10U11Lights?

SATURDAY Earliest Start:Play Complete By:Preferred Start:

SUNDAYEarliest Start:Play Complete By:Preferred Start:

FRIDAY EVEEarliest Start:Play Complete By:Preferred Start:

MON-THUR EVEEarliest Start:Play Complete By:Preferred Start:

Other Requirements:

Club Name:Club Code:

Additional Team Declarations
Team Code /
Age
/ Division / Coach / Phone / Email

Additional Park & Field Information

Park Name:

Park Address:

Park City, State Zip:

Park Phone:

Field (Name/Number/Location):U9/10U11Lights?

SATURDAY Earliest Start:Play Complete By:Preferred Start:

SUNDAYEarliest Start:Play Complete By:Preferred Start:

FRIDAY EVEEarliest Start:Play Complete By:Preferred Start:

MON-THUR EVEEarliest Start:Play Complete By:Preferred Start:

Other Requirements:

Field (Name/Number/Location):U9/10U11Lights?

SATURDAY Earliest Start:Play Complete By:Preferred Start:

SUNDAYEarliest Start:Play Complete By:Preferred Start:

FRIDAY EVEEarliest Start:Play Complete By:Preferred Start:

MON-THUR EVEEarliest Start:Play Complete By:Preferred Start:

Other Requirements:

Park Name:

Park Address:

Park City, State Zip:

Park Phone:

Field (Name/Number/Location):U9/10U11Lights?

SATURDAY Earliest Start:Play Complete By:Preferred Start:

SUNDAYEarliest Start:Play Complete By:Preferred Start:

FRIDAY EVEEarliest Start:Play Complete By:Preferred Start:

MON-THUR EVEEarliest Start:Play Complete By:Preferred Start:

Other Requirements:

Field (Name/Number/Location):U9/10U11Lights?

SATURDAY Earliest Start:Play Complete By:Preferred Start:

SUNDAYEarliest Start:Play Complete By:Preferred Start:

FRIDAY EVEEarliest Start:Play Complete By:Preferred Start:

MON-THUR EVEEarliest Start:Play Complete By:Preferred Start:

Other Requirements: