SSI Spring Team Registration Forms 11-12
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Suffolk Soccer Interleague
Registration Form Instructions
The SSI Registration Form contains (7) Worksheet Tabs -- Instruction, CLUB Info, Club REG Totals, GIRLS Reg, BOYS
Reg, Age Groups-MIN & Age Chart
The Form is compatible with the 97-2003 version of Excel. Please keep in the same format/version.
All forms should be filled out (see all tabs on bottom) and then sent back to SSI via e-mail
(ssinterleague@optonline.net)
Final Registration Deadline to be in SSI: Saturday January 28, 2012
NOTE: Once Clubs are finished with the Spring '12 team registration, they can send in their forms and fee for the spring
registration to :
SSI
PO Box 279
Lake Ronkonkoma NY 11779
MUST be received by Saturday January 28, 2012
SSI fee Per season is $40.00 per team.
All prior season fines must be paid to register your teams for the upcoming season.
US Club player / coach insurance is
Players per year ( Aug to July) = $10.00
Coach per every two years = $15.00
This is paid to US Club Soccer through their website(www.usclubsoccer.org)
CLUB Info TAB--
We need three different contact persons, one each for President, Interleague Coordinator and Director of Referees.
Club REG Totals TAB --
List the total number of Boys & Girls teams for each age group division. Form will calculate totals
Totals listed on this form must match the number of teams listed on the GIRLS/BOYS Reg Forms
All teams should have the required minimums - consult Age Group MIN Tab for guidance
If the team has more than one older player on it the team MUST play up -- consult Age Chart Tab for guidance
If you are placing a team in a division above their DOB Division then put a star next to it, so we know they are playing up.
GIRLS/BOYS Reg TABs --
Girls/Boys registration forms must be filled out correctly, this is were the info is copied from for the schedules
Division: Gender then two digits ; Example Age Div : GU13 ; BU09 (Choose from Pull-down List)
If you are entering a development/tournament/(pre-travel) team in the U9 Div, MUST have the following (GU09T or BU09T)
Minor or Major (Pull-down List) & last season record should be included. Any request must be listed (ex AM/PM games),
Team Name; Club name then Div then Team name; Example -- (Elwood BU12 Tigers)
All teams must have two coaches (coach + asst coach) listed with information to contact them: e-mail & phone numbers
Additional Registration Requirements
Letters of request: On your club letter head signed by Pres or VP or Registrar with the request /only will be honored
All coaches and players must have their US club passes ( in US club data base)
Coaches without a pass or US Club Risk Management will not be able to coach / or team will be put on probation.
All coaches must have sent in their SSI Acknowledgement of Insurance/Sportsmanship each year.
Suffolk Soccer Interleague
Club Registration Form
Club Information
All information must be typed
Must have three different contact numbers & person
Club Name
Club Phone & Fax #
Club Website address www.
Club InterLeague Coordinator Name
Club InterLeague Coordinator Home Phone #
Club InterLeague Coordinator Cell Phone #
Club InterLeague Coordinator E-mail
Club President Name
Club President Phone #
Club President E-mail
Club Referee Director Name
Club Referee Director Phone #
Club Referee Director E-mail
Suffolk Soccer Interleague
Club Registration Form -- Team Total Information
Club Name:
Total teams by Age Divisions Entering This Season highlight one: Fall Spring
August 1st to July 31st is the Calendar years we are using for placement of teams.
Tournament Teams / Development Teams Saturday Only Scheduled Scrimmages only:
# Boys Teams # Girls Teams Total # of Teams
U-08T Aug 1, 2003 / July 31, 2004 8v8 0
TO BE COMBINED WITH U9T MINOR DIV IF NOT
ENOUGH TEAMS ( 8) IN U 8T Saturday Only
U-09T Aug 1, 2002 / July 31, 2003 8v8 0
Intramural teams / Recreational Teams Sunday Scheduled Scrimmages only:
*** List if "B" Tournament team # Boys Teams # Girls Teams Total # of Teams
U-08 Aug 1, 2003 / July 31, 2004 8v8 0
TO BE COMBINED WITH U9T MINOR DIV IF NOT
ENOUGH TEAMS ( 8) IN U 8T
U-09 Aug 1, 2002 / July 31, 2003 8v8 0
U-10 Aug 1, 2001 / July 31, 2002 8v8 0
U11-Saturday
U-11 Aug 1, 2000 / July 31, 2001 11 v 11 0
U-12 Aug 1, 1999 / July 31, 2000 11 v 11 0
U-13 Aug 1, 1998 / July 31, 1999 11 v 11 0
U-14 Aug 1, 1997 / July 31, 1998 11 v 11 0
TO BE COMBINED IF NOT ENOUGH IN DIV
U-15 Aug 1, 1996 / July 31, 1997 11 v 11 0
TO BE COMBINED IF NOT ENOUGH IN DIV
U-16 Aug 1, 1995 / July 31, 1996 11 v 11 0
TO BE COMBINED IF NOT ENOUGH IN DIV
U-17 Aug 1, 1994 / July 31, 1995 11 v 11 0
TO BE COMBINED IF NOT ENOUGH IN DIV
U-18 Aug 1, 1993 / July 31, 1994 11 v 11 0
TO BE COMBINED IF NOT ENOUGH IN DIV
U-19 Aug 1, 1992 / July 31, 1993 11 v 11 0
TO BE COMBINED IF NOT ENOUGH IN DIV
U-20 Aug 1, 1991 / July 31, 1992 11 v 11 0
U-21 Aug 1, 1990 / July 31, 1991 11 v 11 0
TO BE COMBINED IF NOT ENOUGH IN DIV
U-22 Aug 1, 1989 / July 31, 1990 11 v 11 0
U-23 Aug 1, 1988 / July 31, 1989 11 v 11 0
U-24 Aug 1, 1987 / July 31, 1988 11 v 11 0
Total Number of teams Registering 0 0 0
Signed and approved by Club Registrar/President:
Returned by Deadlines with all registration fees, bond and fines due.
Fall Season by Last Saturday in July Spring Season by Last Saturday in Jan
SSI use ONLY- SSI Committee approved
Suffolk Soccer Interleague
Club Registration Form -- Girls Team Information
Club Name:
GIRLS TEAMS
All information must be typed
Placement of teams in the Interleague Program:
Remember SSI is using the State Aug 1 to July 31 DOB
Please indicate if team is playing up **
Teams will be placed based on OLDEST PLAYER on Roster
Age Division & to be Placed in either Major or Minor Required info Required info Required info Required info Required info Required info Required info
Fall 2009 record
Division Major/Minor W-L-T Requests Club & Team Name Coaches Name Phone # H & C E-mail address Asst Coaches Name Phone # H & C E-mail address
GU09T Major New team AM games Elwood GU9T Shooting Stars** Lou Smith H-631-213-4567/C-809-234-6789 newcoach@aol.com Gary Jones H-631-213-4567/C-809-234-6789 newcoach@aol.com
GU12 Minor 2--5- 2 Elwood GU12 Shooting Lightning Gary Jones H-631-213-4567/C-809-234-6789 newcoach@aol.com Lou Smith H-631-213-4567/C-809-234-6789 newcoach@aol.com
Note: Total number of teams MUST match the total number on Club registration form
Return in By Deadline, otherwise team will be placed on waiting list. For SSI use ONLY
Final Registration MUST Be in by January 28, 2012 Committee member approved by__
Suffolk Soccer Interleague
Club Registration Form -- Girls Team Information
Club Name:
BOYS TEAMS
All information must be typed
Placement of teams in the Interleague Program:
Remember SSI is using the State Aug 1 to July 31 DOB
Please indicate if team is playing up **
Teams will be placed based on OLDEST PLAYER on Roster
Age Division & to be Placed in either Major or Minor Required info Required info Required info Required info Required info Required info Required info
Fall 2009 record
Division Major/Minor W-L-T Requests Club & Team Name Coaches Name Phone # H & C E-mail address Asst Coaches Name Phone # H & C E-mail address
BU09T Major New team AM games Elwood BU9T Shooting Stars** Lou Smith H-631-213-4567/C-809-234-6789 newcoach@aol.com Gary Jones H-631-213-4567/C-809-234-6789 newcoach@aol.com
BU12 Minor 2--5- 2 Elwood BU12 Shooting Lightning Gary Jones H-631-213-4567/C-809-234-6789 newcoach@aol.com Lou Smith H-631-213-4567/C-809-234-6789 newcoach@aol.com
Note: Total number of teams MUST match the total number on Club registration form
Return in By Deadline, otherwise team will be placed on waiting list. For SSI use ONLY
Final Registration MUST Be in by January 28, 2012 Committee member approved by__
SUFFOLK SOCCER INTERLEAGUE
CLUB / TEAM REGISTRATION / AGE GROUPS
NEW MINIMUMS
Roster minimum has increased do to teams dropping out lack of players.
Born on or after August 1 st, 2003 Max- 8 v 8 U-08 2 - 3 grade
- ( 12) Minimum on roster to register a team.
Born on or after August 1 st, 2002 Max- 8 v 8 U-09 3 - 4 grade
- ( 12) Minimum on roster to register a team.
Born on or after August 1 st, 2001 Max- 8 v 8 U-10 4 - 5 grade
- ( 12) Minimum on roster to register a team.
Born on or after August 1 st, 2000 Max- 11 v 11 U-11 5 - 6 grade
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1999 Max- 11 v 11 U-12 6 - 7 grade
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1998 Max- 11 v 11 U-13 7 - 8 grade
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1997 Max- 11 v 11 U-14 8 - 9 grade
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1996 Max- 11 v 11 U-15 9 - 10 grade
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1995 Max- 11 v 11 U-16 10 - 11 grade
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1994 Max- 11 v 11 U-17 11 - 12 grade
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1993 Max- 11 v 11 U-18 12 -Coll-Level
- ( 15) Minimum on roster to register a team.
Born on or after August 1 st, 1992 Max- 11 v 11 U-19 College-Level
- ( 18) Minimum on roster to register a team.
Born on or after August 1 st, 1991 Max- 11 v 11 U-20 College-Level
- ( 18) Minimum on roster to register a team.
Born on or after August 1 st, 1990 Max- 11 v 11 U-21 College-Level
- ( 18) Minimum on roster to register a team.
Born on or after August 1 st, 1989 Max- 11 v 11 U-22 College-Level
- ( 18) Minimum on roster to register a team.
Born on or after August 1 st, 1988 Max- 11 v 11 U-23 College-Level
- ( 18) Minimum on roster to register a team.
Born on or after August 1 st, 1987 Max- 11 v 11 U-24 College-Level
- ( 18) Minimum on roster to register a team.
A guideline for players playing up!
Any player playing up Must have on Club letter head signed by Exec. Board member
President or VP Sanctioning and approving this move, Liability reasons.
NOTE: NO U15 can play up on a U24, again Liability issue.
US Club & SSI Age Group Chart
August 1, 2011 to July 31, 2012 ( Registration Year)
YOUTH LEAGUE HIGH SCHOOL DIV ADULT LEAGUE
Year 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987
Birth Month
January U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
February U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
March U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
April U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
May U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
June U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
July U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
August U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
September U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
October U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
November U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
December U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 U20 U21 U22 U23 U24
US Club registration fee for Blue and Green is $ 10.00 per player for the year with the pass
US Club registration fee for Yellow is $ 25.00 per player for the year
US Club and SSI require All Adult supervisors working with the teams have to have a pass and RISK Management.
NOTE:
Any player playing up in the Adult league has to pay the US Club adult insurance fee of $ 25.00
All players on a team have to be the same insurance no mix and match (youth and adult)
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