Soccer Maine
Player Status Form
Instructions: Complete the Player information section and the appropriate section(s) below. Return the form with the
necessary signatures and the processing fee, if applicable, to the Soccer Maine State Registrar for approval: 512 Warren
Avenue, Portland, ME 04103.
Player Information:
Player Name (Print) ________________________________________Date of Birth___________
Address________________________________________ Player Registration No. ___________
City _____________________________State____________________Zip__________________
I was/was not rostered to a team which participated in State Cup Play this seasonal year (Sept. 1- August
31)
Signature- Player _____________________________________Phone (_____) _____________________
Signature – Parent ____________________________________Phone (______) _____________________

Transfer Request Player being transferred from another team (release from original team
must be obtained). $15.00 fee
New Team __________________ Age Division _________ Club_______________________
Signature- Team official _______________________________________ Date ___________

Release Player is being removed from roster. Original player pass must be surrendered to
registrar processing the transfer. No Fee.
Team _______________________Age Division__________Club_________________________
Reason for Release ______________________________________________________________
Signature – Team Official _______________________________________Date______________

Permission to Play in Another State
$25.00 Fee
Player wishes to play on a team in another state.
Team _______________________Age Division_____________Club_____________________

Permission to Play in Maine
Maine. No fee.
Player from another state who wishes to play on a team in
Team_________________________Age Division ______________Club___________________
Signature – Other State registrar ____________________________________________________


Permission Granted
Permission Denied
Signature Maine State Registrar _____________________________Date_______
Transaction Takes Effect on the Date the State Registrar Signs this Form