2018-19 National League Application

We understand teams may submit an application before the completion of Regional Leagues or Regional Championships. You can amend your application by emailing changes to [email protected].

* - denotes required fields

This team is from which region? *

Gender: *

2018-19 Age Group: *

14U (2005s) [playing as 13U during 2017-18 season]
15U (2004s) [playing as 14U during 2017-18 season]
16U (2003s) [playing as 15U during 2017-18 season]
17U (2002s) [playing as 16U during 2017-18 season]
18U (2001s) [playing as 17U during 2017-18 season]
19U (2000s) [playing as 18U during 2017-18 season]

Team Name: *

State Association: *

Club Name: *

If the team name for 2018-19 is different from the team name used in 2017-18, please note here the team name that the team used in a recognized US Youth Soccer Regional League during the 2017-18 season or in your respective Regional Championship competition in 2018.

2017-18 Team Name:

Did this team participate in its US Youth Soccer State Cup in 2017-18? *

Yes
No

Please list your team's name used in your 2017-18 State Cup competition:

Please list which US Youth Soccer Regional League and specific division(s) that your team participated in during the 2017-18 season.

Type response below:

Please list your team record from play in 2017-18 Regional League competition, as well as the individual game results of any Regional League playoff matches.

Type response here:

Did this team participate in the US Youth Soccer National League in 2017-18? *

Yes
No

If your team did not participate in its Regional League and is eligible to apply based on its 2018 finish at your respective US Youth Soccer Regional Championship Competition in June/July 2018, please check your team’s finish.

Check one:

Regional Champion
Regional Runner-Up
Regional Semifinalist

OTHER INFORMATION: You may use this space to add any other information related to this team.

TEAM CONTACTS

HEAD COACH

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

State: *

Zip Code: *

TEAM ADMINISTRATOR

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

State: *

Zip Code: *

CLUB DIRECTOR OF COACHING

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

State: *

Zip Code: *

CLUB ADMINISTRATOR

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

State: *

Zip Code: *

AGREEMENT

This certifies that the Team named at the top of this application is eligible to apply for the 2018-19 National League. By submitting this application, the above Team agrees to abide by the charter, rules, policies and decisions of the US Youth Soccer National League. The team acknowledges that upon acceptance, it will pay the team fee by September 1, 2018.

Agreed to by duly authorized representative of the above named team:

Type in the name of individual submitting this team application: *