MCYSA Form: Registration - Club Application

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MCYSA SPRING 2010:  CLUB REGISTRATION APPLICATION (ver 10.1)

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 2010 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!! ~

There are two ways to register for the upcoming season:

1)  Use these online Club and Team registration forms
OR
2) Registration Module (do not use online forms)

All registrations due: January 15, 2010
 

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 SUBMIT THIS FORM!!

~ CLUB INFORMATION ~

NJYS CLUB #:   (REQUIRED FIELD - your 4 digit Club Number)
CLUB NAME:
If **Not Listed Above** fill in Club Name:
Street Address:
City, State Zip: ,  
- For numbers enter as - (###) ###-####   i.e. (123) 456-7890
Phone: ( ) -
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.

 

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 in MCYSA in Fall 2008S
NEW Full Sided Teams (Div 1)
Need a Carding Packet

x    =
$245 each
 $
NEW Full Sided Teams (Div 2-4)
Need a Carding Packet

x    =
$215 each
 $
NEW Small Sided Teams (Div 5-6)
Need a Carding Packet

x  =
$170 each
 $

Only Spring Teams are Returning Teams
RETURNING Full Sided Teams (Div 1)
 Played in Fall 2009
Do NOT need a Carding Packet
x  =
$ 75 each
 $
RETURNING Full Sided Teams (Div 2-4)
 Played in Fall 2009
Do NOT need a Carding Packet

x  =
$ 70 each
 $
RETURNING Small Sided Teams (Div 5-6)
 Played in Fall 2009
Do NOT need a Carding Packet

x  =
$ 60 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:  /  /
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.

REFEREE LISTING

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
Part Time Referees are those who can only commit to 1-4 League Game DATES per season
Full/Part Time First Name MI Last Name Email Address Phone
()-
()-
()-
()-
()-
()-
()-
()-
()-
()-
()-
()-

If you have additional referees you can submit them HERE

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:

( ) - and/or Cell: ( ) -

Email Address

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:

( ) -   and/or Cell: ( ) -

Email Address

 

FIELD SCHEDULER
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

  ,      

Phone:

( ) - and/or Cell: ( ) -

Email Address

REGISTRAR
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

  ,      

Phone:

( ) - and/or Cell: ( ) -

Email Address

NEW - PRIMARY CARDING CONTACT
The person who will be responsible for reviewing Carding Packets and
all other Carding paperwork before it is submitted to a league official.

Name

First:     Last: 

Street Address

 

City, State Zip

  ,      

Phone:

( ) - and/or Cell: ( ) -

Email Address

NEW - ALTERNATE CARDING CONTACT
Backup for the Primary Carding Contact

Name

First:     Last: 

Street Address

 

City, State Zip

  ,      

Phone:

( ) - and/or Cell: ( ) -

Email Address

TREASURER
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

  ,      

Phone:

( ) - and/or Cell: ( ) -

Email Address

SECRETARY
All fields must be completed

Name

First:     Last: 

Street Address

 

City, State Zip

  ,      

Phone:

( ) - and/or Cell: ( ) -

Email Address

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, Registrar, Secretary, etc.

Thank you very much! 
~~ or ~~ 
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