dual registration - Michigan State Youth Soccer Association
THIS FORM MUST BE PRINTED OR TYPED AND RETURNED WITH PAYMENT TO THE MSYSA STATE OFFICE AT 9401 GENERAL DRIVE, SUITE 120, PLYMOUTH, MI 48170
DUAL REGISTRATION - $20.00 CASH OR CHECKS MUST BE MADE PAYABLE TO MSYSA *PLEASE CHECK YOUR LEAGUE'S DUAL REGISTRATION RULES* **ALL FIELDS ARE REQUIRED. THIS FORM WILL NOT BE APPROVED UNLESS COMPLETED IN ITS ENTIRETY**
PLAYER INFORMATION Name:
/
Date of Birth First
MM/DD/YYYY
Last
Address:
Month
Phone: ( Street
City
Team Name:
Day
Year
-
)
Zip
State
PRIMARY TEAM INFORMATION
/
SECONDARY TEAM INFORMATION Team Name:
Age Group: U
Age Group: U
Affiliating League Name: PLEASE SELECT A LEAGUE
Affiliating League Name:
Coach Name:
Coach Name:
PLEASE SELECT A LEAGUE
This is a Premier (MSPSP) or MRL team Send approved form to:
(if different from player address above)
Phone: ( Address
City
State
)
Zip
-
Dual registrations will not be permitted by MSYSA during the months of May, June, September and October, unless MSYSA grants approval for a hardship case*. The following restrictions apply to dual registration: • The team with which a dual rostered player first registers shall be designated his/her primary team and the other team is his/her secondary team . • A player may not play for more than one (1) team in the same competition (meaning tournament, cup, etc.) The primary team is the player's MSYSA State Cup team. • If the coaches of the two (2) teams disagree on the designation of the primary team, the player may not play until the issue has been resolved via the MSYSA Appeals Process. • A dual rostered player shall be issued two (2) US Youth Soccer passcards, one (1) for each team. • In the case of a player playing on an MSPSP team, the Premier Program team must be his/her primary team. In the case of a player playing on a team in the Midwest Regional League (MRL), the MRL team must be his/her primary team. Thus, a player may not dual register between a MRL team and a MSPSP team. • Any player who registers for a team without informing the responsible team official and member organization official that they already registered with another team shall forfeit all games for BOTH teams for the time period that the player has not obtained the approved dual registration form from MSYSA. * All hardship cases must be submitted in writing to MSYSA detailing the situation. Write in letter format, emails will not be accepted.
Player's Signature x
Date
Parent's Signature x
Date
Primary League Official Printed Name
Secondary League Official Printed Name
x x
Date Signature
Date Signature
THIS FORM IS INVALID UNLESS THE MSYSA LOGO/STAMP OF APPROVAL APPEARS ON IT.
DUAL REGISTRATION - $20.00 CASH OR CHECKS MUST BE MADE PAYABLE TO MSYSA *PLEASE CHECK YOUR LEAGUE'S DUAL REGISTRATION RULES* **ALL FIELDS ARE REQUIRED. THIS FORM WILL NOT BE APPROVED UNLESS COMPLETED IN ITS ENTIRETY**
PLAYER INFORMATION Name:
/
Date of Birth First
MM/DD/YYYY
Last
Address:
Month
Phone: ( Street
City
Team Name:
Day
Year
-
)
Zip
State
PRIMARY TEAM INFORMATION
/
SECONDARY TEAM INFORMATION Team Name:
Age Group: U
Age Group: U
Affiliating League Name: PLEASE SELECT A LEAGUE
Affiliating League Name:
Coach Name:
Coach Name:
PLEASE SELECT A LEAGUE
This is a Premier (MSPSP) or MRL team Send approved form to:
(if different from player address above)
Phone: ( Address
City
State
)
Zip
-
Dual registrations will not be permitted by MSYSA during the months of May, June, September and October, unless MSYSA grants approval for a hardship case*. The following restrictions apply to dual registration: • The team with which a dual rostered player first registers shall be designated his/her primary team and the other team is his/her secondary team . • A player may not play for more than one (1) team in the same competition (meaning tournament, cup, etc.) The primary team is the player's MSYSA State Cup team. • If the coaches of the two (2) teams disagree on the designation of the primary team, the player may not play until the issue has been resolved via the MSYSA Appeals Process. • A dual rostered player shall be issued two (2) US Youth Soccer passcards, one (1) for each team. • In the case of a player playing on an MSPSP team, the Premier Program team must be his/her primary team. In the case of a player playing on a team in the Midwest Regional League (MRL), the MRL team must be his/her primary team. Thus, a player may not dual register between a MRL team and a MSPSP team. • Any player who registers for a team without informing the responsible team official and member organization official that they already registered with another team shall forfeit all games for BOTH teams for the time period that the player has not obtained the approved dual registration form from MSYSA. * All hardship cases must be submitted in writing to MSYSA detailing the situation. Write in letter format, emails will not be accepted.
Player's Signature x
Date
Parent's Signature x
Date
Primary League Official Printed Name
Secondary League Official Printed Name
x x
Date Signature
Date Signature
THIS FORM IS INVALID UNLESS THE MSYSA LOGO/STAMP OF APPROVAL APPEARS ON IT.
