ADMINISTRATOR INFORMATION UPLOAD

Platinum IE - Administrator Information

Please fill out the complete form. Before you start the form, we will need a picture of your driver license and a clean photo of you for our Admin card.

Please have them ready before you start!

What league is your team playing on?

Coast Soccer League

So Cal Soccer League

Your Team Name

First Name

Middle Name

Last Name

Do you have children playing in our club?

Yes

Please provide the child's name and the team he/she is on.

Upload a picture of your driver license

Choose File

Do you have a Cal South \ USSF Coaching License?

Yes

Cal South ID # (if known)

Your Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone/Mobile

Type

Cell

Home

Work

***THIS FIELD IS HIDDEN****Upload LiveScan (If new to Cal South) Maximum file is is 3MB! Allowed file types are: jpg, jpeg, gif, png, bmp, pdf, doc, ppt, docx, xlsx, or txt.

Choose File

Upload Admin Photo A CLEAN PHOTO OF YOURSELF.. Maximum file size is 3MB! Allowed file types are: jpg, jpeg, gif, png, bmp, pdf, doc, ppt, docx, xlsx, or txt.

Choose File

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