National League P.R.O. - 2021-22 Application

* - denotes required fields

This team is from which USYS Region? *

Team's Gender: *

2021-22 Age Group: *

14U (2008s) [playing as 13U during 2020-21 season]
15U (2007s) [playing as 14U during 2020-21 season]
16U (2006s) [playing as 15U during 2020-21 season]
17U (2005s) [playing as 16U during 2020-21 season]
18U (2004s) [playing as 17U during 2020-21 season]
19U (2003s) [playing as 18U during 2020-21 season]

Team Name: *

State Association: *

The above team name should be the full name (how you want your name to appear on league documents and promotional materials).

Club Name: *

National League Conferences referenced in the following section of the application include:

Desert	Mid South	North Atlantic	Piedmont
Frontier	Midwest	Northwest	South Atlantic
Great Lakes	New England	Pacific (CRL)	Sunshine
Mid Atlantic

If the team name for 2021-22 is different from the team name used in 2020-21, please note here the team name that the team used in a recognized National League Conference during the 2020-21 season.

2020-21 Team Name:

Did this team participate in its US Youth Soccer State Cup in 2020-21? *

Yes
No
It has yet to take place, but we will participate
Our state is unable to hold a State Cup

Please list your team's name used in your 2020-21 State Cup competition:

Please select which National League Conference and division that your team participated in during the 2020-21 season.

National League Conference: *

Division: *

Please list your team record from play in 2020-21 Conference competition, as well as the individual game results of any Conference playoff matches.

Type response here:

OTHER INFORMATION: You may use this space to add any other information related to this team.

TEAM CONTACTS

HEAD COACH

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

Zip Code: *

State *

TEAM ADMINISTRATOR

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

Zip Code: *

State *

CLUB DIRECTOR OF COACHING

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

Zip Code: *

State *

CLUB ADMINISTRATOR

Name: *

Position with Team: *

Email Address: *

Primary Phone Number: *

Mailing Address: *

City: *

Zip Code: *

State *

AGREEMENT

This certifies that the Team named at the top of this application is eligible to apply for the 2021-22 season of National League P.R.O. By submitting this application, the above Team agrees to abide by the charter, rules, policies and decisions of the US Youth Soccer National League. The team acknowledges that upon acceptance, it will register and submit payment for the team fee, as required in the team acceptance communication.

Teams participating in National League P.R.O. are required to participate in National League Conference play during the 2021-22 season.

Agreed to by duly authorized representative of the above named team.

Type in the name of individual submitting this team application: *

Email *