US CLUB SOCCER - Tournament Hosting Application Packet

Report 0 Downloads 125 Views
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:

COPA DE CAMPEONES

Tournament Dates:

03/31-04/02/2017

Tournament Website: Host Club Member:

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

WWW.FCJUAREZUSA.COM

FC JUAREZ BRAVOS EL PASO ACADEMY

WESTSIDE SPORTS COMPLEX 201 ISELA RUBALCAVA DR EL PASO, TX CITY OF EL PASO – Outdoor

Name: TERESA SOSA

– Indoor

Address: 6301 MONARCH DR EL PASO TX 79912

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: 150

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

30

TX, NM, AZ

If yes, which member? USYS

Female: 85

Total: 235

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

/

02/01/2017

/

__________________________________________________________________________________________________________________________________________________________________________________________ Page 1