2019-20 US Youth Soccer Leagues Program
Midwest Conference & Great Lakes Conference
Team Application

 

This application is to be used by all teams in applying to participate in the Midwest Conference and Great Lakes Conference during the 2019-20 US Youth Soccer seasonal year.

 Under Team Info, please select the correct Conference for your team (either Great Lakes Conference or Midwest Conference)

• Please select the correct season of play (Fall or Spring), Gender and Age Group for the coming season so that your team application is routed properly.

Be sure to list your team name EXACTLY how it should appear in team lists, schedules, etc.

• Be sure to completely fill in all areas of the application.


Team Application Periods

• The Team Application period to participate in the 2019 Fall Season 14U through 19U will open on or around May 28, 2019 and close on June 26, 2019.

 The Team Application period to participate in the 2020 Spring Season 15U through 19U age groups will open on or around July 26, 2019 and close on August 30, 2019.

• The Team Application period to participate in the 2020 Spring Season 13U and 14U age groups will open on or around October 14, 2019 and close on November 11, 2019.

If you have any questions please contact Marc Frankland, the League Manager, at mfrankland@usyouthsoccer.org.

More Information

Midwest Conference
• Great Lakes Conference
• Leagues Program

Thank you for your interest in the Leagues Program. 

 

 

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* indicates required fields

Team Info

Conference*

State Association*
Team Name* ?

Gender*
2019-20 Season*

2019-20 Age Group* ?

Team Home Town*

Team Web Site
Club Name*

Coach

Name*

Email*

Mobile Phone*

Director of Coaching

Name*

Email*

Mobile Phone*

Team Administrator

Name*

Email*

Mobile Phone*

Club Administrator

Name*

Email*

Mobile Phone*

2018-19 Results

Team Name used in 2018-19 :
Gender:
Season:
If played both seasons, list only spring results.
2018-19 Age Group: ?
Age Groups with Corresponding Birth Years for 2018-19: 13U (2006), 14U (2005), 15U (2004), 16U (2003), 17U (2002), 18U (2001), 19U (2000).
Midwest/Great Lakes Tier:
Division Name :
Record:
Wins:
Losses:
Ties:



2018-19 Results in Other US Youth Soccer Affiliated Competitions (Do not include tournament results)

2018-19 State Cup Team Results

Where did you place in the 2018-19 Age Group? (Qualifying event for 2019 Regionals)

Coaches

List any coaches associated with this team and their highest US Soccer coaching license or United Soccer Coaches certification. Please also upload a copy of your US Soccer License or United Soccer Coaches Diploma in order to confirm your coaching education status. Every coach on the sidelines must hold at least a US Soccer D License or a United Soccer Coaches National diploma.
Name: License/Certification: Upload your Certificate:
Name: License/Certification: Upload your Certificate:
Name: License/Certification: Upload your Certificate:
Name: License/Certification: Upload your Certificate:
Name: License/Certification: Upload your Certificate:
Name: License/Certification: Upload your Certificate:

Who Completes Form

Person completing this Form*:

Relationship to team*:

US Youth Soccer Conference Agreement

We agree to abide by the policy, rules, operating procedures and decision of the US Youth Soccer Leagues Program and the corresponding conference for which we are applying. We have reviewed the information and understand the commitment to the league for the coming season. In granting this permission to travel to and host conference games, neither US Youth Soccer nor the National State Association shall be liable for transportation, lodging or injury to person or property sustained in the course of the sanctioned event. Upon submission, a copy of this form will be emailed to the coach, the team administrator and the director of coaching to confirm receipt.