SANCTIONED TOURNAMENT HOSTING APPLICATION Please submit this completed application, along with a copy of the tournament rules, to US Club Soccer: • Email:
[email protected] • Fax: (843) 614-4146
Please review Section 7 (Tournament Rules and Sanctioning) of the US Club Soccer Policies. Signing this application confirms your acceptance of the conditions in the Sanctioned Tournament Hosting Terms and Fact Sheet for US Club Soccer-Sanctioned Tournament Participants contained within this packet. GENERAL INFORMATION:
Name of Tournament:
LAS CRUCES MEMORIAL DAY CHALLENGE
Tournament Dates:
MAY 26-28, 2017
Tournament Website: Host Club Member:
Venue(s) & Owner Name/Address: Outdoor or Indoor Tournament? Tournament Director:
WWW.COBRASSOCCEREVENTS.COM
FC JUAREZ BRAVOS EL PASO ACADEMY HIGH NOON SOCCER COMPLEX Bruins Ln, Las Cruces, NM 88005 CITY OF LAS CRUCES, NM – Outdoor
Name: TERESA SOSA
– Indoor
Address: 6301 Monarch Dr
Disciplinary Committee Chairperson:
Name: MICHAEL BLAKE
Address: 6920 DIAMOND RIDGE
Email:
[email protected] Phone: 915 346-6765
Email:
[email protected] Phone: 915 540-2187
COMPETITION INFORMATION:
– Unrestricted – open to teams registered with US Club Soccer & other USSF affiliate members, & from other countries (w/USSF approval). This is the default option, unless you specify otherwise.
1.
Type of tournament:
3.
Estimated number of teams:
Male: 80
Age groups:
U5-U20
2. 4. 5. 6. 7. 8. 9.
Is/will this tournament be sanctioned by another U.S. Soccer organization member?
Number of international teams: States of attending teams:
Playing format (3v3, 11v11, etc.): Source of referees:
U.S. Soccer-certified referee assignor name:
– Restricted – restricted to teams registered through US Club Soccer. – Yes – No
20
TX, NM, AZ
If yes, which member? USSF
Female: 40
Total: 120
U5-U8 4V4 U9-U10 7V7 U11-U12 9V9 U13-U20 11V11 MEXICO AND US OFFICIALS
Name: LILLY ANDUJO Email:
[email protected] Phone: 915 227-9339
Please mark the checkbox to acknowledge:
U.S. Soccer does not permit two-referee systems Requirement for certified athletic trainers under No. 7 of Hosting Terms page
Signature of President or Chief Officer of Host Member: APPROVAL By Title
Coed:
TERESA SOSA
Date:
DENIAL Date
/
04/19/2017
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