Team Officer Registration

Copy of:
Driving license, birth certificate, passport, alien registration card, government ID.

Copy of:
SSN card, income TAX papers, Paystub, bank document. This document must show the first name, last name and SSN number, all other information can be blanked out.

Picture must be:

* colored passport picture: no glasses, no hats, no copies of other color documents, no BLACK and WHITE pictures!
The requirements for picture are:
a) 2 by 2 inches (roughly 50 mm square) with the head centered in the frame.
b) The head (measured from the top of the hair to the bottom of the chin) should measure between 1 inch to 1 3/8 inches (25 mm to 35 mm) with the eye level between 1 1/8 inch to 1 3/8 inches (28 mm and 35 mm) from the bottom of the photo

Team Officer Registration

United States Adult Soccer Association, Inc.
Affiliated with the United States Soccer Federation
New Jersey Soccer Association, Inc.

TEAM OFFICER REGISTRATION FOR

DATE OF BIRTH:

TEAM OFFICER NAMES:

Most recent Registration

Team Officer Information

*LEAGUE :

*TEAM NAME :

* TEAM PASSWORD:

* PLAYER REGISTRATION PASSWORD:

MEMBERSHIP TYPE:

*TEAM OFFICER NAME :

*OFFICER TYPE:

LAST 4 DIGITS OF ID:

*GENDER:

M F

*USERNAME:

*PASSWORD:

*CONFIRM PASSWORD:

*ADDRESS:

*CITY:

*STATE:

*ZIP:

Home Phone No:

( ) - -

*Cell Phone No.:

( ) - -

*COUNTRY OF BIRTH:

*E-MAIL ADDRESS :

Other E-MAIL ADDRESS :

All Team Officer will be required to provide additional information
as requested upon completion of registration :