This application is to be used by all teams in applying for MRL participation during the 2014-15 US Youth Soccer calendar year.

• Under Team Info—be sure to check 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 completely fill in all areas of the application.

• If your team is a Pro Affiliates Division application, you do not need to select your State Association, but be sure to select your parent MLS Youth Club.

More information on the league can be found at www.midwestregionalleague.com.

Thank you for your interest in the MRL

* indicates required fields

Team Info

State Association*
Pro Affiliate*
Team Name*

Gender*
Season*

Age Group*

Team Home Town*

Team Web Site

Coach

Name*

Email*


Street Address*

City*

State*

Zip Code*


Home Phone
Work Phone
Mobile Phone
Primary Phone

Director of Coaching

Name*

Email*


Street Address*

City*

State*

Zip Code*


Home Phone
Work Phone
Mobile Phone
Primary Phone

Team Administrator

Name*

Email*


Street Address*

City*

State*

Zip Code*


Home Phone
Work Phone
Mobile Phone
Primary Phone

Individual Player Info

List the players on this team that are in the U.S. National Team Pool (NP) US Youth Soccer ODP Regional Team (ODP) Player Pool:
[ie: First Name Last Name: Joseph Smith (ODP)]




2013-14 MRL Results

Gender:
Age Group:
Tier:
Record:
Wins:
Losses:
Ties:



Additional Team Info

Where did you place in the 2013-14 State Cup? (for the 2014 regionals)
Please use this area to list any team accomplishments during the 2013-14 season, as well as list any coaches associated with this team and their license level:
Person completing this Form:
Relationship to team:

Midwest Regional League Agreement

We agree to abide by charter rules, policies, and decision of the Midwest Regional League. We have reviewed the MRL information and understand the commitment to the lague for the coming season. In granting this permission to travel to and host Midwest Regional League games, neither US Youth Soccer nor the National State Assocation shall be liable for transportation, lodging or injury to person or property sustained in the course of the sanctioned event.