Club Affiliation Application

Club Information

Club Name:

Club Address:

Club Website / URL

Club Facebook URL

Club Status:

Date of your Clubs next AGM:

Digital Copy of Club By-Laws if changes

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Upload a current version of Club By-Laws

*All Clubs must upload a copy of most recent By-Laws on submission.

Board Contact Information

President Name

First

Last

President Email

President Phone

Date Term Ends

Registrar Name

First

Last

Registrar Email

Registrar Phone

Date Term Ends

Treasurer Name

First

Last

Treasurer Email

Treasurer Phone

Date Term Ends

DOC Name

First

Last

DOC Email

DOC Phone

Date Tenure Ends (if applicable)

Club Acknowledgement

I acknowledge all our coaches; managers & board members have approved Risk Management; are in compliance with Michigan Sports Concussion Awareness Law; completed their CDC and completed the mandatory Safe Sports training and are familiar with current WMYSA rules and regulations.

Checkboxes

Our Club hereby renews/applies for membership in the WMYSA League. Our Bylaws are based upon and do not conflict with the WMYSA Bylaws. We agree to adhere to and support the WMYSA Bylaws, Rules & Regulations, Policies, and fee structure set forth by the league. We further understand that failure to comply with WMYSA Bylaws, Rules & Regulations may result in forfeiture of our club’s ability to participate in all state-run, sanctioned, and sponsored tournaments and programs.

Affiliation Statement of Support

Number of teams playing in WMYSA this upcoming season. (Include all WMYSA & Elite division teams, do not count WMYSA Academy):

Number of WMYSA sponsored teams playing in MSPSP this season:

Will you have a WMYSA Academy Program this season?

Will you have a TOPSOCCER Program this season?

Submission Acknowledgement

As submitter of the Club Affiliation Application, I contest that the information contained in this form is complete and accurate for the club I am representing.

Submitter Name

First

Last

Title

Date