FCL Club Application - 2022-2023

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Membership Information:

Is your club currently a Florida Club League member?

Primary Contact Information:

General Club Information:

Number of Competitive Teams (in all age groups):
Boys
Girls
Number of Rec Teams (in all age groups):
Boys
Girls
Total Number of Players (in all age groups):
Boys
Girls
What is your primary competitive season(s)?
Start Date
End Date

Club Facility Information:

Number of Fields Rented / Owned by the Club:
Rented
Owned
Please be prepared to provide the current lease if your fields are not owned by the club.
Does your club have access to turf fields?
Does your club have access to lighted fields?
Does your club have an indoor facility?

Additional Information:

Dates of High School Season (Boys):
Start Date
End Date
Dates of High School Season (Girls):
Start Date
End Date

Staff For 2022-2023 Season (Current Season):

President:
Name:
Phone:
License Level:
Email:
Director of Coaching - Boys:
Name:
Phone:
License Level:
Email:
Director of Coaching - Girls:
Name:
Phone:
License Level:
Email:
12U Coach:
Name:
Phone:
License Level:
Email:
13U Coach:
Name:
Phone:
License Level:
Email:
14U Coach:
Name:
Phone:
License Level:
Email:
15U Coach:
Name:
Phone:
License Level:
Email:
16U Coach:
Name:
Phone:
License Level:
Email:
17U Coach:
Name:
Phone:
License Level:
Email:

Team Performances – 2022-2023 Current And Past Seasons:

Current 12U – 2011s:

US Club Soccer National Cup:
W-L-T:
Placement:      
US Youth Soccer State Cup:
W-L-T:
Placement:      
Top Tournaments:
Name:
W-L-T:
Placement:      
Top Tournaments:
Name:
W-L-T:
Placement:      
US Club Soccer National Cup:
W-L-T:
Placement:      
US Youth Soccer State Cup:
W-L-T:
Placement:      
Top Tournaments:
Name:
W-L-T:
Placement:      
Top Tournaments:
Name:
W-L-T:
Placement:      
Drop files here or
Max. file size: 32 MB.

    Current 13U – 2010s:

    US Club Soccer National Cup:
    W-L-T:
    Placement:      
    US Youth Soccer State Cup:
    W-L-T:
    Placement:      
    Top Tournaments:
    Name
    W-L-T:
    Placement:      
    Top Tournaments:
    Name
    W-L-T:
    Placement:      
    US Club Soccer National Cup:
    W-L-T:
    Placement:      
    US Youth Soccer State Cup:
    W-L-T:
    Placement:      
    Top Tournaments:
    Name:
    W-L-T:
    Placement:      
    Top Tournaments:
    Name:
    W-L-T:
    Placement:      
    Drop files here or
    Max. file size: 32 MB.

      Current 14U – 2009s:

      US Club Soccer National Cup:
      W-L-T:
      Placement:      
      US Youth Soccer State Cup:
      W-L-T:
      Placement:      
      Top Tournaments:
      Name
      W-L-T:
      Placement:      
      Top Tournaments:
      Name
      W-L-T:
      Placement:      
      US Club Soccer National Cup:
      W-L-T:
      Placement:      
      US Youth Soccer State Cup:
      W-L-T:
      Placement:      
      Top Tournaments:
      Name:
      W-L-T:
      Placement:      
      Top Tournaments:
      Name:
      W-L-T:
      Placement:      
      Drop files here or
      Max. file size: 32 MB.

        Current 15U – 2008s:

        US Club Soccer National Cup:
        W-L-T:
        Placement:      
        US Youth Soccer State Cup:
        W-L-T:
        Placement:      
        Top Tournaments:
        Name
        W-L-T:
        Placement:      
        Top Tournaments:
        Name
        W-L-T:
        Placement:      
        US Club Soccer National Cup:
        W-L-T:
        Placement:      
        US Youth Soccer State Cup:
        W-L-T:
        Placement:      
        Top Tournaments:
        Name:
        W-L-T:
        Placement:      
        Top Tournaments:
        Name:
        W-L-T:
        Placement:      
        Drop files here or
        Max. file size: 32 MB.

          Current 16U – 2007s:

          US Club Soccer National Cup:
          W-L-T:
          Placement:      
          US Youth Soccer State Cup:
          W-L-T:
          Placement:      
          Top Tournaments:
          Name:
          W-L-T:
          Placement:      
          Top Tournaments:
          Name:
          W-L-T:
          Placement:      
          US Club Soccer National Cup:
          W-L-T:
          Placement:      
          US Club Soccer National Cup:
          W-L-T:
          Placement:      
          Top Tournaments:
          Name:
          W-L-T:
          Placement:      
          Top Tournaments:
          Name:
          W-L-T:
          Placement:      
          Drop files here or
          Max. file size: 32 MB.

            Current 17U - 2006s:

            US Club Soccer National Cup:
            W-L-T:
            Placement:      
            Youth Soccer State Cup:
            W-L-T:
            Placement:      
            Top Tournaments:
            Name:
            W-L-T:
            Placement:      
            Top Tournaments:
            Name:
            W-L-T:
            Placement:      
            US Club Soccer National Cup:
            W-L-T:
            Placement:      
            US Youth Soccer State Cup:
            W-L-T:
            Placement:      
            Top Tournaments:
            Name:
            W-L-T:
            Placement:      
            Top Tournaments:
            Name:
            W-L-T:
            Placement:      
            Drop files here or
            Max. file size: 32 MB.

              Player Development History:

              U.S. Soccer National Team Players:

              Please list any youth and full U.S. National Team players that have played at your club.

              Last Name
              First Name
              U.S. National Team Age Group
              Years Participated in Your Club (ex: 2016-20)
               

              Please list any players from your club that have participated in the id2 Program.

              Participants in US Club Soccer’s id2 National Player Identification and Development Program:
              Please include any additional players on a separate sheet of paper.
              Last Name
              First Name
              Birth Year
              Years Participated in Your Club (ex: 2016-20)
               
              Participants in US Club Soccer’s id2 National Player Identification and Development Program:
              Other Notable Players:

              Please list other notable players to have played for your club. Please list the years in which they played for your club and the highest level they played upon leaving your club (top 50 college, professional, etc.).

              Last Name
              First Name
              Highest Level Played
              Years Participated in Your Club (ex: 2016-20)
               
              Please include any additional players on a separate sheet of paper.

              Other Notable Club Information:

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              Safety - Accountability - Collaboration - Commitment - competition - Education - integrity