New Associate Affiliate Application

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New Associate Affiliate Application

This form must be completed and submitted with all required documentation to the FYSA State Office.

Type of Affiliate:

League

Other

If Other, Please Specify:

Name of Organization *

Contact Person (Agent of Record) *

Email Address *

Mailing Address *

City *

State *

Zip Code *

Phone *

Fax *

Items below must accompany application:

Fee of $135 affiliation. New associate affiliate fees can be submitted here: https://system.gotsport.com/forms/26171755E
(Please contact Michelle Cook at finance@fysa.com at the FYSA state office if you have any questions about submitting the appropriate fees.)
List of Board of Directors, and any additional representatives for this associate affiliation
A copy of the applicant's bylaws, rules and/or regulations

Please upload the necessary documents via the boxes listed below. (The only acceptable file formats to upload are Word/PDF.)

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 *

Upload Signature Here (JPEG or PNG Files)

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.

Associate Affiliate members may not register players or coaches.