US CLUB SOCCER - Tournament Hosting Application Packet

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TOURNAMENT HOSTING APPLICATION Submission options: • Email: [email protected] • Mail: Attn: Tournament Sanctioning | US Club Soccer | 192 East Bay Street, Suite 301 | Charleston, SC 29401 • Fax: (843) 614-4146

Please refer to “Tournament Rules and Sanctioning” (Policy Section 7), which can be found at usclubsoccer.org. Upon signing this application you agree to the conditions of the Tournament Hosting Agreement Terms on page 2.

GENERAL INFORMATION:

1.

Name of Tournament:

Parsippany Pride Invitational

4.

Tournament Dates:

October 9th, 10th & 11th, 2015

2. 3. 5. 6. 7.

Tournament Website: Host Club Member: Venue(s) & Owner Name/Address:

Tournament Director: Disciplinary Committee Chairperson:

www.parsippanysoccerclub.org Parsippany SC

Township of Parsippany Troy Hills 1001 Parsippany Boulevard Parsippany, NJ 07054 Name: Al Zalewski

Email: [email protected]

Name: Al Zalewski

Email: [email protected]

Address: P. O. Box 212 Parsippany, NJ 07054 Address: 16 Warwick Rd Parsippany, NJ 07054

Phone: 973.714.4846 Phone: 973.714.4846

COMPETITION INFORMATION:

8. 9.

Type of tournament:

Is the tournament being sanctioned by another U.S. Soccer organization member?

– Unrestricted – open to teams registered with US Club Soccer & other U.S. Soccer-affiliated members, & from other countries (w/U.S. Soccer approval). This is the default option, unless you specify otherwise. – Restricted – restricted to teams registered through US Club Soccer. – Yes – No

If yes, which member? US Youth Soccer, NJ Youth Soccer

10. Estimated number of teams:

Boys: 225

13. States of anticipated attending teams:

NJ, NY, PA, DE, MA, CT

11. Team entry deadline:

12. Number of international teams: 14. Age groups:

15. Playing format (3v3, 11v11, etc.): 16. Number of guest players / team from outside clubs: 17. Source of referees:

18. U.S. Soccer-certified referee assignor name:

September 10, 2015 5 maximum

Coed: 10

U8 Boys & Girls thru U14 Boys & Girls

U8-U10 8v8, U11-12 8v8 and 11v11, U13 & 14 U11v11 3

USSF Certified Referees from NJ and surrounding States Name: Eric Ballis Email: [email protected] Phone: 973.625.1757

Signature of President or Chief Officer of Host Club APPROVAL By Title

Girls: 225

Albert T. Zalewski

Date:

DENIAL Date

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05/25/2015

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