| Form Name: |
US Club Soccer Tournament Sanctioning Application |
| Approved at: |
Jan 06, 2025 02:11pm Eastern Time (US & Canada) |
| Enrolled By: |
John Schadl (scotts@ymcaatlanta.org) |
| User Name: |
John Schadl |
| Gender: |
Male |
| Name of host club / Organization Member: |
Metro Atlanta YMCA Soccer
|
| Tournament name: |
Ice Breaker
|
| State where tournament will be held: |
Georgia
|
| In what registration year / governing season will the tournament be held? |
2024-25 (July 1, 2024 - July 31, 2025)
|
| Tournament start date: |
02/15/2025
|
| Tournament end date: |
02/16/2025
|
| Type of Tournament: |
UNRESTRICTED - open to teams registered with US Club Soccer & other U.S. Soccer Federation affiliate members, & from other countries (w/U.S. Soccer approval).
|
| Tournament venue name(s) + location(s): |
Hubert Park - 3412 Cobb Parkway, Acworth, GA 30101 Tramore Park - 2150 East-West Connector, Austell, Ga 30106 Mudcreek Park - 5600 Ernest W Barrett Pkwy SW, Marietta, GA 30064 Custer Park - 600 Kenneth E Marcus Way, Marietta, GA 30060
|
| URL of tournament website / webpage: |
https://soccer.sincsports.com/details.aspx?tid=TZ4981&tab=1
|
| Total number of participating teams (anticipated): |
125
|
| Age + Gender: |
- U-8 Boys
- U-9 Boys
- U-10 Boys
- U-11 Boys
- U-12 Boys
- U-13 Boys
- U-14 Boys
- U-15 Boys
- U-8 Girls
- U-9 Girls
- U-10 Girls
- U-11 Girls
- U-12 Girls
- U-13 Girls
- U-14 Girls
- U-15 Girls
|
| Playing format (3v3, 11v11, etc.): |
7v7, 9v9, 11v11
|
| Is/will this tournament be sanctioned by another U.S. Soccer Organization Member (such as a US Youth Soccer state association)? |
No
|
| Tournament Director: First Name |
Scott
|
| Tournament Director: Last Name |
Schadl
|
| Tournament Director: Email Address |
scotts@ymcaatlanta.org
|
| Tournament Director: Mobile Phone Number |
678-548-9158
|
| Source of referees: |
Ga Soccer
|
| U.S. Soccer-Certified Referee Assignor: First Name |
Mark
|
| U.S. Soccer-Certified Referee Assignor: Last Name |
Smith
|
| U.S. Soccer-Certified Referee Assignor: Email Address |
ref1962.ms@gmail.com
|
| U.S. Soccer-Certified Referee Assignor: Mobile Phone Number |
470-349-9521
|
| Role (of person completing this application): |
Club president
|
| Email address (of person completing this application) |
scotts@ymcaatlanta.org
|
| I certify that I am registered with US Club Soccer (and therefore have completed and am current on the safeguarding-risk management requirements associated with a US Club Soccer staff registration) via the host club of this tournament. |
true
|
| I acknowledge that I / my US Club Soccer member organization hosting this tournament must comply with U.S. Soccer Federation and US Club Soccer bylaws, policies, and other similar directives and rules, as may be amended or updated, the most current versions of which are accessible via usclubsoccer.org. This includes, but is not limited to, US Club Soccer's Risk Management/Participant Health and Safety policies. |
true
|
| I acknowledge and agree that I have read, understand and agree to abide by US Club Soccer's Participant Safety/Risk Management Policies, available at usclubsoccer.org/safety. I also acknowledge that I have reviewed the additional resources available via usclubsoccer.org/safeguardingandcompliance regarding goal safety, environmental conditions (via U.S. Soccer's Recognize 2 Recover Program), and other topics. |
true
|
| I acknowledge that as the tournament host club/member organization, my organization shall: 1) verify via passcards and/or roster documentation that all players and staff of a participating team are registered and eligible with same U.S. Soccer Organization Member, and 2) provide these details and proof (ex: copy of the official U.S. Soccer Organization Member roster(s) used for the tournament) to US Club Soccer upon request. |
true
|
| I acknowledge that, pursuant to U.S. Soccer policy, any tournament projected to have 64 or more teams at U-11 and older age groups must have an adequate number of certified athletic trainers or other healthcare professionals in attendance, as detailed at https://usclubsoccer.org/sanction-a-tournament/. |
true
|
| I acknowledge that the host club/member organization must obtain approval from the U.S. Soccer Federation for any game or tournament involving international ("foreign") teams, as detailed at https://www.ussoccer.com/federation-services/youth-permission-travel-hosting/hosting-process. |
true
|
| I acknowledge that U.S. Soccer does not permit two-referee systems. |
true
|
| I understand and agree that tournament sanctioning approval is contingent upon the host US Club Soccer member organization being an active member in good standing at the time the tournament is held. |
true
|