Michigan Youth Soccer League

 

 Affiliation Application - Fall  2008

 

                       ____ Renewal Affiliation       or    ___    New Affiliation*

 

Organization Name[ League, Association, Club] _________________________________

 

Organization President:________________________________           Risk Management Number: _____________

 

Address:___________________________________________________________     

Phone:________________________   Fax:______________________

Email address: _____________________________

 

As the authorized official of the above named organization, I attest to its desire to be considered an affiliate of the Michigan Youth Soccer League (MYSL).  Our  organization is in good standing with the MSYSA and  the MYSL (if renewing affiliation).

 

Signature of Affiliating Official: ______________________________  Date:  ___________

 

                                                 [Please provide the following information for your Organization]

 

1.MYSL Delegate:                                                                                                                                     Risk Management Number:

 

  

           Address:                                                         Phone:

 

           City, State, Zip:

          Email address:

 

2.Field Scheduler:

 

                Address:                                                         Phone:

 

                City, State, Zip:

              Email address:

 

3.Referee Assignor:

 

                Address:                                                         Phone:

 

                City, State, Zip:

              Email address:

 

4.Candidate for Disciplinary Board:

 

                Address:                                                         Phone:

 

                City, State, Zip:

              Email address:

 

 

*Organizations affiliating for the first time must complete the New Affiliation checklist

  and provide all requested information to the League Commissioner.