South Florida United Youth Soccer Association
Club Information Form
Early Season
CLUB NAME:
ADDRESS:
CITY, ST ZIP:
CLUB REP:
ADDRESS:
CITY, ST ZIP:
HM PHONE:
MOBILE:
EMAIL:
CLUB PRESIDENT:
ADDRESS:
CITY, ST ZIP:
HM PHONE:
MOBILE:
EMAIL:
Regular Season
Late Season
CLUB CODE:
ALTERNATE CLUB REP:
ADDRESS:
CITY, ST ZIP:
HM PHONE:
WK PHONE:
MOBILE:
PAGER:
EMAIL:
WK PHONE:
PAGER:
ASSIGNOR:
ADDRESS:
CITY, ST ZIP:
HM PHONE:
MOBILE:
EMAIL:
WK PHONE:
PAGER:
WK PHONE:
PAGER:
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):
SATURDAY
Earliest Start:
SUNDAY
Earliest Start:
FRIDAY EVE
Earliest Start:
MON-THUR EVE Earliest Start:
Other Requirements:
Play
Play
Play
Play
Complete
Complete
Complete
Complete
U9/10
By:
By:
By:
By:
U11
Lights?
Preferred Start:
Preferred Start:
Preferred Start:
Preferred Start:
FIELD (NAME/NUMBER/LOCATION):
SATURDAY
Earliest Start:
SUNDAY
Earliest Start:
FRIDAY EVE
Earliest Start:
MON-THUR EVE Earliest Start:
Other Requirements:
Play
Play
Play
Play
Complete
Complete
Complete
Complete
U9/10
By:
By:
By:
By:
U11
Lights?
Preferred Start:
Preferred Start:
Preferred Start:
Preferred Start:
South Florida United Youth Soccer Association
Club Name:
Additional Team Declarations
TEAM CODE
AGE
Club Information Form (Addendum)
Club Code:
DIVISION
COACH
PHONE
EMAIL
Additional Park & Field Information
PARK NAME:
PARK ADDRESS:
PARK CITY, STATE ZIP:
PARK PHONE:
FIELD (NAME/NUMBER/LOCATION):
SATURDAY
Earliest Start:
SUNDAY
Earliest Start:
FRIDAY EVE
Earliest Start:
MON-THUR EVE Earliest Start:
Other Requirements:
Play
Play
Play
Play
Complete
Complete
Complete
Complete
U9/10
By:
By:
By:
By:
U11
Lights?
Preferred Start:
Preferred Start:
Preferred Start:
Preferred Start:
FIELD (NAME/NUMBER/LOCATION):
SATURDAY
Earliest Start:
SUNDAY
Earliest Start:
FRIDAY EVE
Earliest Start:
MON-THUR EVE Earliest Start:
Other Requirements:
Play
Play
Play
Play
Complete
Complete
Complete
Complete
U9/10
By:
By:
By:
By:
U11
Lights?
Preferred Start:
Preferred Start:
Preferred Start:
Preferred Start:
FIELD (NAME/NUMBER/LOCATION):
SATURDAY
Earliest Start:
SUNDAY
Earliest Start:
FRIDAY EVE
Earliest Start:
MON-THUR EVE Earliest Start:
Other Requirements:
Play
Play
Play
Play
Complete
Complete
Complete
Complete
U9/10
By:
By:
By:
By:
U11
Lights?
Preferred Start:
Preferred Start:
Preferred Start:
Preferred Start:
FIELD (NAME/NUMBER/LOCATION):
SATURDAY
Earliest Start:
SUNDAY
Earliest Start:
FRIDAY EVE
Earliest Start:
MON-THUR EVE Earliest Start:
Other Requirements:
Play
Play
Play
Play
Complete
Complete
Complete
Complete
U9/10
By:
By:
By:
By:
U11
Lights?
Preferred Start:
Preferred Start:
Preferred Start:
Preferred Start:
PARK NAME:
PARK ADDRESS:
PARK CITY, STATE ZIP:
PARK PHONE: