MCYSA Form: Registration - Club Application

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MCYSA SPRING 2008:  CLUB REGISTRATION APPLICATION (ver 8.1)

To be sure you have current form, please reload/refresh screen before submitting for first time today.

It is the responsibility of the League Contacts, acting as representatives of their clubs, to assure that all teams from their club are registered and that submitted information is complete and accurate.

  • Fill in form Completely and Accurately.

  • When finished, click the SUBMIT button at the bottom of the form.

  • Submissions with incomplete data can not be accepted and club will not be registered.

  • Clubs and Teams not registered as of January 15th  will be put on a Wait List and may not be eligible to participate in the Spring 2008 season.

If you have any Problems or Questions about this form
PLEASE Email Web Manager
~ Suggestions for improving this form or registration process are also welcomed!! ~

All registrations due: January 15, 2008
 

Registration Fees (checks) must be accompanied by the Payment Form.  Mailing information is included on the form.

PAYMENT FORM must be submitted with any fees
(LEFT Click to open, fill in and print, or RIGHT Click to download and save)

PLEASE use "Proper Case" when filling in form
(Do Not use all CAPS - Do Not use all lowercase)   Thanks!

IF YOU ARE USING THE REGISTRATION MODULE YOU DO NOT NEED TO SUBMIT THIS FORM!!

~ CLUB INFORMATION ~

NJYS CLUB #: (REQUIRED FIELD - your 4 digit Club Number)
CLUB NAME:
If **OTHER** fill in Club Name:
Street Address:
City, State Zip: ,  
- For numbers enter as - (###) ###-####   i.e. (123) 456-7890
Phone: ( ) - Fax: ( ) -
Email Address:
Club web URL: (if available)
Colors (Regular): Jersey: Shorts:
Colors (Alternate): Jersey: Shorts:

~ TEAM INFORMATION ~

In each category indicate how many teams you are registering and the extended cost.
This information must be filled in completely - enter 0's if no teams or cost for a line item.

NOTE:  ALL Fall teams are "NEW teams
NEW TEAMS are those that need Carding Packets
Most Spring 2008 teams will be RETURNING after playing FALL 2007
ALL Division 1 and 2 TEAMS are NEW TEAMS
Any team not carded for Fall are NEW TEAMS
 

A "RETURNING" team is one
that was carded in the Fall
and played Fall League Games
"NEW" teams need Carding Packets

 # of Teams

Cost/Packet

 Total Cost

NEW teams are those that DID NOT play Fall 2007
(Even if you got Early Packets for Spring teams enter them as NEW teams)
NEW Full Sided Teams (Div 1)
No League Play Fall 2007
Need a Carding Packet

x    =
$185 each
 $
NEW Full Sided Teams (Div 2-4)
No League Play Fall 2007
Need a Carding Packet

x    =
$135 each
 $
NEW Small Sided Teams (Div 5-6)
No League Play Fall 2007
Need a Carding Packet

x  =
$105 each
 $

Most Spring 2008 teams will be RETURNING after playing FALL 2007
RETURNING Full Sided Teams (Div 3-4)
 Played in Fall 2007
Do NOT need a Carding Packet

x  =
$ 75 each
 $
RETURNING Small Sided Teams (Div 5-6)
 Played in Fall 2007
Do NOT need a Carding Packet

x  =
$ 75 each
 $
 
TOTAL TEAMS:

TOTAL COST: $

~ FIELD & REFEREE INFORMATION ~

# of FIELDS for League Games:  11V11 - 8v8 -  
Dates your Fields are Available/Open for the upcoming Season: (mm/dd/yy please)
 Are you fields available for a Saturday game?: Yes  Limited  Never 

Referee Requirements:
Division 1, 2, 3 teams: 3 full time referees for every 6 teams registered.  
U13-U19: 1-6 teams = 3 refs, 7-12 teams = 6 refs, etc.
(Division 1, 2, 3 teams should have 3 man system)
Division 4, 5, 6 teams: 1 full time referee for every 4 teams registered.  
U08-U12: 1-4 teams = 1 ref, 5-8 teams = 2 refs, etc.

Number of REFEREES available to officiate League Games -
Full Time   Part Time

Full Time Referees are those willing and available to officiate
 at least 5 League Game DATES per season

(Mandatory)
Full Time Referee List
Referee Name, Phone #, email address
 		(Optional)
Part Time Referee List
Referee Name, Phone #, email address

IMPORTANT NOTE:  You must contact any referee you listed above to let them know
they need to visit the MCYSA REFEREE ROOM
and submit their REFEREE REGISTRATION so they are registered to cover MCYSA Games
and are associated with your club.
If they DO NOT Register, you will not have the required amount of referees to meet your club obligations!

~ CLUB OFFICER CONTACT INFORMATION ~

PRESIDENT
All fields must be completed

Name

First:    Last:

Street Address

 

City, State Zip

 ,    

 

Phone: ( ) - Fax: ( ) -

(optional)

Cell: ( ) -

Email Address


(If no email address - indicate "none")

LEAGUE CONTACT
All fields must be completed
(This is the MAIN contact between the League and your Club)

Name

First:     Last: 

Street Address

 

City, State Zip

   ,      

 

Phone: ( ) - Fax: ( ) -

(optional)

Cell: ( ) -

Email Address

 
(If no email address - indicate "none")

FIELD SCHEDULER
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

   ,      

 

Phone: ( ) - Fax: ( ) -

(optional)

Cell: ( ) -

Email Address


(If no email address - indicate "none")

REGISTRAR
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

   ,      

 

Phone: ( ) - Fax: ( ) -

(optional)

Cell: ( ) -

Email Address


(If no email address - indicate "none")

TREASURER
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

   ,      

 

Phone: ( ) - Fax: ( ) -

(optional)

Cell: ( ) -

Email Address


(If no email address - indicate "none")

SECRETARY
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

   ,      

 

Phone: ( ) - Fax: ( ) -

(optional)

Cell: ( ) -

Email Address


(If no email address - indicate "none")

 

If you have any additional comments, questions, explanation for any data entered (or left blank) above, etc.
please note them the following area. 

~ ADDITIONAL COMMENTS ~

~ SUBMITTED BY ~

Submitted by:
Your email address:
Your position:
i.e.. League Contact, Secretary, etc.

Thank you very much! 
~~ or ~~ 
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