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U.S. Youth Futsal Academy
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* Indicates required question
Is your club currently a member of the U.S. Youth Futsal?
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Yes
No
Which league does your club currently participate in?
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Your answer
Which USYF Regional Tournament did your club attend?
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Your answer
Did your club attend a USYF National Championships in 2016
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Yes
No
Did your club attend a USYF National Championships in 2017
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Yes
No
Which State Futsal I.D. your players have attended in the year 2016-17
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Your answer
Please indicate how many academy teams you have in your club ( i.e. U9 - U19 , 6 teams )
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Your answer
Number of Girls teams within the club:
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Your answer
Number of Boys teams within the club:
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Your answer
Total Number of players within the club:
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Your answer
Primary Club Contact ( Name, phone, email )
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Your answer
Explain the Futsal club’s approach to individual and team development:
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Your answer
Does your club offer programming into the U.S. Youth Futsal I.D. Program
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Yes
No
Total number of Futsal courts available in your Academy:
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Your answer
Primary Facility Information ( Name, Address, Website)
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Your answer
Futsal Academy Director(s) ( Name, email and phone number)
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Your answer
What Coaching Certificates/ Licenses does the Academy Director Hold ? ( Soccer and Futsal )
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Your answer
Futsal Academy noteable Staff members
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Your answer
Please list any U.S. Youth Futsal National Team players that played with your club
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Your answer
Please list any U.S. Mens Futsal National Team players that played with your club
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Your answer
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