Application for Initial (New) Affiliation

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Application for Initial (New) Affiliation

This form must be completed and submitted with all required documentation to the FYSA State Office. Please find the updated criteria- as of 8/9/2021- necessary to become an affiliate here.

Per FYSA Rule 102.3, All documentation must be completed & submitted to the FYSA State Office no later than sixty (60) days prior to the March or October meeting of the Board of Directors.

Name of Organization *

Contact Person (Agent of Record) *

Email Address *

Mailing Address *

City *

State *

Zip Code *

Phone *

Fax *

Primary Field Name *

Primary Field Address *

Zip Code *

City *

State *

Items below must accompany application to be considered complete:

New Member Fee: $5000 total; Affiliation fee $2000, prepaid registration of $3000
1. A written request for waiver of the $3000 prepaid registration (if requesting to only pay the affiliation fee)

New Member Affiliation fees can be submitted here: https://system.gotsport.com/forms/7M6626416
(Please contact Michelle Garno Quick at finance@fysa.com at the FYSA state office if you have any questions about submitting the appropriate fees.)

Written proof of 11v11 AND 9v9 field availability from facility/field owner
List of Board of Director Members- must have at least four (4) different and distinct BOD members
Documentation that all listed BOD members have submitted and satisfied all FYSA Risk Management Policies
A copy of the Member’s Bylaws & Rules
Documentation that the member is a registered business with the State of Florida.

Documentation of licensed and qualified coaches.
Documentation of at least four (4) total teams participating in four (4) different age groups.
Written letter or email from the League in which your teams will be scheduled.
Written confirmation from FYSA of agreement to attend at least one (1) registrar training
Documentation showing grassroots offerings in the community.

Please upload the necessary documents via the boxes listed below.

(The only acceptable file format is a PDF file.)

File Upload

We agree by application to follow all of Bylaws, Rules and Regulations of Florida Youth Soccer Association, US Youth Soccer, and the United States Soccer Federation now in effect, as well as all of those that may be enacted in the future.

Name *

Date *

By checking this box, I hereby certify that the above information is accurate and I have the authorization to submit this material on behalf of my organization.

Once this Application has been approved by FYSA’s BOD, the above named Agent of Record may obtain an online user name and password to complete a current affiliation form listing additional agents for the affiliate and other necessary information.