U.S. Soccer Federation
AP
P
LICATION FOR FOREIGN TRAVEL
Please Type or Print Clearly Please Type or Print Clearly
A. Everyone requesting permission to travel internationally MUST fill out this section
M / F (circle one)
Age Div
ision
Organizational Member
Telephone Work ( )
Ext.
TeamName
League/Hom
e Association
Also affiliated with (circle one) AYSO SAY USASA USYSA US Club Soccer
Team Manager/Coach
Address
Telephone Home (____)
City State Zip Fax (____)
I hereby state that during the dates below, the team has no playing commitments at home. All players are fully insured to cover them against
injuries sustained on the field and during transportation. I have enclosed my check payable to U.S. Soccer.
Signature of Team Manager/Coach Date
B Travel to a TOURNAMENT
If you are requesting permission to travel to a Tournament, you must fill out this section.
We request approval to play in the Tournament, to be
held in , during the dates of .
(Country)
C. Travel to participate in GAMES
If you are requesting permission to travel to participate in games you must complete this section.
We hereby request permission to engage in games between the dates of to
in the following locations (attach a separate sheet, if necessary, for additional information/official letter of invitation from host must be
attached):
OPPONENT STATE/COUNTRY
1.
2.
3.
4.
U.S. Soccer advises that prior to travelling outside the United States, you should check with the U.S. State Department for travel warnings at www.state.gov
APPROVAL
(FOR OFFICIAL USE ONLY)
U.S. SOCCER FEDERATION, INC. FOR ORGANIZATIONS AFFILIATED WITH
U.S. SOCCER FEDERATION ONLY
I certify that the team & coach submitting application is in good
standing.
By
By
Title
Title
Date USSF Org. Member
Dat
e
In granting this permission to travel, US Soccer shall NOT be liable for transportation, lodging or injury to persons or property sustained in the
course of the sanctioned event.
