US CLUB SOCCER - Tournament Hosting Application Packet

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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:

Parsippany Pride Invitational

Tournament Dates:

October 6-8, 2017

Tournament Website: Host Club Member:

Venue(s) & Owner Name/Address: Outdoor or Indoor Tournament? Tournament Director:

http://www.parsippanysoccerclub.org Parsippany Soccer Club

Twp. of Parsippany Troy Hills 1001 Parsippany Blvd Parsippany, NJ 07054 – Outdoor

Name: Michael Kells

– Indoor

Address: Parsippany, NJ 07054

Disciplinary Committee Chairperson:

Name: Al Zalewski

Address: Parsippany, NJ 07054

Email: [email protected] Phone: 862-222-0405

Email: [email protected] Phone: 973-714-4846

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: 260

Age groups:

U8-U15

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

3

If yes, which member? USYS

Female: 240

NJ, NY, PA, CT, DE, MA, RI

Total: 510

U8 4v4 & 7v7, U9-U10 7v7, U11-U12 9v9, U13-U15 11v11 Eric Balis

Name: Eric Balis Email: [email protected] Phone: 973-625-1757

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: 10

Michael Kells

Date:

DENIAL Date

/

4/25/17

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