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CYSA Coaching Forms

CYSA Conflict of Interest Policy 

CYSA General Forms

CYSA Manuals

CYSA Registration Forms

Insurance Forms

IRS Forms

Tournament Forms

US Soccer Forms

 

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CYSA Coaching Forms

 

PDF Coaching Course Application Form 2022 Rev. (06/2009)
PDF CYSA Coach of the Year Nomination Form - Applications are due at the CYSA State Office no later than January 15th, 2010 
PDF Duplicate Coaching License Request Form

 

 

 

 

 

 

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CYSA Conflict of Interest Policy

 

PDF CYSA Conflicts of Interest Policy
PDF CYSA Conflicts of Interest Statement

 

 

  

 

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CYSA General Forms

PDF CYSA Director of Coaching Pass Application
PDF Car Pool Driver Form
PDF CYSA Conflict of Interest Statement
PDF CYSA Hall of Fame Nomination Form - Due October 1st, 2011 into CYSA State Office
WORDCYSA Generic Game Card Sticker for up to a 22 player roster (Avery 5168) 
 WORD CYSA CUP Game Card Sticker (Avery 5168) 
PDF League Affiliation Agreement 2012/2013 Seasonal Year - Due to your District Commissioner on February 15th, 2012
icon_pdf.gif Form 8203 District Playing League Information Form (Fill-In) Rev. 01/2011

This Form MUST be updated for any changes to your District Playing League personal for the current seasonal year.

PDF League Board of Directors Change Notice
PDF Notice of Filing to a CYSA PAD Committee
ODP State Form Packet
PDF Parent and League Agreement Form
PDF Parent Guide
PDF Referee 24 Hour Send Off Report

EXCEL Reimbursement Form - Credit Card

EXCEL Reimbursement Form - CYSA CUPS

This form is to be used for July 1, 2011 - 2012 Reimbursements

EXCEL Reimbursement Form - General

This form is to be used for July 1, 2011 - 2012 Reimbursements

US Youth Soccer Parent Resource Library

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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CYSA Manuals

 

PDF CYSA Financial Polices and Procedures Manual 
PDF Fraud Manual
PDF 2009/2010 Registration Manual
PDF Risk Management Manual
PDF Protest, Appeals and Disciplines Manual
Team Manual

 

 

 

 

 

 

 

 

 

 

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CYSA Registration Forms

PDF Approved Registration Forms 

PDF CSAN Player & Parent Waiver Form

Note: Players under the age of 18 who play for a CSAN affiliated team must sign this form and also obtain the signature of at least one parent

PDF CYSA Membership Form #1601  

Note: This form requires a wet-ink signature: This form MUST be signed by the Parent/Legal Guardian OR a Player age 18 or over.  Players who turn 18 during the seasonal year must have a new form filled out. Players who are 18 MUST sign their own form.  The wet-ink signature must be in a color ink other than black if the form is downloaded from the CYSA website.  Two copies of this form must be turned into your League/Club Registrar with the appropriate fees.  You may make a copy of the signed form and turned the original and the copy in or you may turn in two signed copies of this form.

Please DO NOT mail or send this form into the CYSA State Office.

PDF CYSA Membership Pass Policy

PDF CYSA Membership Pass Medical Release Sticker - Use Avery 5395

Note: When printing this sticker from Adobe, please shut off the following parameters:

  1. Page Scaling: Set to None
  2. Auto-Rotate and Center: There should be no check mark
PDF Team Roster Change in Status Form #1606
PDF Guest Player Single Event Form #1611
PDF Youth to Provisional Senior Form #1612
PDF Registration Software & Data Usage Agreement Form #1623
PDF Foreign Document Translation Form #1627
PDF Team Official Registration & Risk Management Disclosure Form #1628 2012/2013 Season

PDF Interstate Permission for Transfer/Release/Guest Play Form #1633

Note: A request for Interstate Permission Guest Play requires the form to be completed and submitted into the CYSA State Office 14 business days prior to travel as a Interstate Guest Player.  If this form isn't completed in the 14 Business day periord for Interstate Guest Play, the permission to travel as a Guest Player may not be granted.

 

For additional information on these request, contact  This e-mail address is being protected from spam bots, you need JavaScript enabled to view it .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Insurance Forms

icon_pdf.gif CYSA CASE REPORT (Fill-In Form) Revised: 06/2011

Note: The CYSA CASE REPORT must be completed and submitted into the CYSA State Office within ninety (90) days from the date of injury


PDF Request for Name Certificate of Liability Insurance for the 2011/2012 Seasonal Year

Certificate request forms are now being accepted for the 2011/2012 playing season.   Please note: Certificates will be processed on a "first come/first serve" basis beginning  July 25, 2011.

 


PDF Request for Name Certificate of Liability Insurance for the 2010/2011 Seasonal Year

PDF CYSA Insurance Request of Liability Form for 2009/2010 Seasonal Year

 

 

 

 

 

 

 

 

 

 

 

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IRS Forms

 

PDF IRS W-9 Instructions 
PDF IRS W-9 Request for Taxpayer Identification Number and Certification

 

 

 

 

 

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Tournament Forms

Reporting Forms

icon_pdf.gif Applications Received Form 2604 

icon_pdf.gif CYSA Touranment Infraction and Reconciliation Report Form 2609 

icon_word.jpgCYSA Tournament Summary Form

icon_pdf.gif Referee 24 Hour Send Off Report

icon_pdf.gif Tournament Director Check List Form 2613

icon_pdf.gif Tournament Information/Rules Document Form 2605

icon_word.jpgTournament Information/Rules Document Form 2605

Team Tournament Forms

icon_pdf.gif Team Application for CYSA Teams Form 2603 

PDF CYSA Guest Player Form 1611

Team Travel Forms

icon_pdf.gif CYSA Travel Roster Form 201

icon_pdf.gif CYSA Travel Application for Out of State

icon_pdf.gif

 CYSA Guest Player Form 1611

PDF Notification of a CYSA Team Traveling to Region IV States Form 2650

PDF Notification of a CYSA Team Traveling to a Non US Youth Soccer Tournament Form 2651

WORD Notification of a CYSA Team Traveling to a Non US Youth Soccer Tournament Form 2651 


Hosting Forms

icon_pdf.gif Application to Host A CYSA Tournament Form 2601

icon_pdf.gif Application to Host a Jamboree

icon_pdf.gif US Youth Soccer Application to Host a Tournament or Games (Hosting Out of State Teams)

icon_pdf.gif US Youth Soccer Tournament or Games Hosting Agreement

icon_pdf.gif US Soccer Federation Applicaiton to Host a Tournament or Games Involving Foreign Teams

icon_pdf.gif USSF Hosting Agreement - Ted Stevens Olympic and Amateur Sports Act Compliance Form 

Helpful Documents

  CYSA Guest Player Policy 

icon_pdf.gif Definition of Codes on Tournament Listing

icon_pdf.gif Definition of Terms

icon_word.jpg Minimum Penalties for Red Cards

Other Forms

PDF  CYSA Tournament Forms Packet

icon_pdf.gif CYSA Tournament Status Change Request Form 2602

icon_pdf.gif CYSA Tournament Status Change Request Form 2622 (CYSA Board Approval)

icon_pdf.gif Tournament Survey Form 2611

icon_pdf.gif CYSA Case Report Form (For Injuries)

icon_pdf.gif CYSA Incident Report Form 2614 (For Incidents)

icon_pdf.gif CYSA Event Check-In Form 2615

icon_pdf.gif CYSA Game Card Request Form 2616 

icon_word.jpg Out of State Event Check-In Form

icon_word.jpg Non-USYS Teams Event Check-In Form

icon_word.jpg Foreign Team Event Check-In Form

Tournament Manual

icon_pdf.gif Tournament Manual

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US Soccer Forms

PDF International Clearance Waiver Form WV-4/02

Note: All applications request for International Clearance Waiver must be submitted to the CYSA State Office directly and not to US Soccer.  This will delay processing.  All applications for International Clearance must also have a check/money order in the amount of ten dollars ($10.00) payable to USSF. 

 

For further information please contact This e-mail address is being protected from spam bots, you need JavaScript enabled to view it  

PDF International Clearance Form Request ITC 3-03

Note: All applications request for International Clearance must be submitted to the CYSA State Office directly and not to US Soccer.  This will delay processing.

 

For further information please contact This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

PDF United States Soccer Federation Foreign Application for Travel

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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CYSA - Holiday Hours

 

February 20th, 2012: CYSA State Office Closed for Presidents Day

 

 

May 28th, 2012: CYSA State Office Closed for Memorial Day

 

 

July 4th, 2012: CYSA State Office Closed for Independence Day

 

September 3, 2010: CYSA State Office Closed for Labor Day