JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
KPSL Membership Application
Welcome to KPSL. Please fill out the application below and we will contact you as soon as possible to complete your membership and account. If you have any questions prior to submitting your application please feel free to contact me directly.
Joe Comparato - Executive Director
joe.comparato@kansaspremiersoccer.org
Office:
Tel: 913-766-2196 ext.701
Cell: 785.218.2578
* Indicates required question
Email
*
Record my email address with my response
Kansas Premier Soccer League
Club Name (or team)
*
Your answer
Contact Name
*
Your answer
Contact Phone
*
Your answer
Contact Email
Your answer
Number Of Teams (current)
*
Your answer
Age Group(s)
*
U9
U10
U11
U12
U13
U14
U15
U16
U17
U18
U19
Required
Leagues Played In
*
Heartland Soccer League
NPL/ECNL
Other:
Required
Does your club have an in house registrar
*
Yes
No
Does your club scholarship players
Yes
No
Maybe
Clear selection
Does Your Club/organization provide an equal opportunity to all soccer players, coaches, trainers, managers, administrators and officials, without discrimination on the basis of race, color, religion, age, sex or national origin to participate.
*
Yes
Does your club/organization or any individual within the your club/organization, been subject to disciplinary action within the last twelve months from the date of the application.
*
No
Is Your Club/Organization/Team(s) in good standing with KSYSA (Kansas State Youth Soccer Association)
*
Yes
Maybe
Other:
Comments/Questions
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kansas Premier Soccer League.
Report Abuse
Forms
