This can be found by logging in to AYSOU from the region website.
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Division and Team # *
(ie. 12UB Team 4)
Your answer
Team Name
Can be submitted later
Your answer
Coach Certification Level
(ie. 6U, 8U, 10U, 12U, Intermediate, Advanced)
Your answer
Coach Safe Haven Date *
MM
/
DD
/
YYYY
Coach Cell Number *
Your answer
Assistant Coach Name and AYSO ID *
Your answer
Assistant Coach Certification Level
(ie. 6U, 8U, 10U, 12U, Intermediate, Advanced)
Your answer
Assistant Coach Safe Haven Date *
MM
/
DD
/
YYYY
Assistant Coach Email *
Your answer
Assistant Coach Cell Number *
Your answer
Team Parent Name *
Must attend the Team Parent meeting - either 8/26 or 8/28
Your answer
Team Parent Email *
Your answer
Team Parent Phone Number *
Your answer
Referee #1 Name and AYSO ID
MUST supply 2 Referees- referee point required in 10U-14U, Team Ref in 7U-8U. New Referees must take Regional Referee online training AND attend a field training clinic Aug. 21st or 28th.
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Referee #1 Email
Your answer
Referee #1 Phone Number
Your answer
Referee #2 Name and AYSO ID
Your answer
Referee #2 Email
Your answer
Referee #2 Phone Number
Your answer
Team Field Monitor
7U - 10U only
Your answer
Practice Field Location
7U-8U one 1 hour practice per week. 10U and up one or two 1.5 hour practices per week. 5U-6U no weekday practices, practices are Saturdays before games - SEE COACHES MANUAL/WEBSITE for field assignment instructions
Clear selection
Practice Day(s) and time
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I have a sponsor check
Clear selection
A copy of your responses will be emailed to the address you provided.