2024 Grassroots Symposium | Salt Lake City, Utah September 20 - 22

US Youth Soccer proudly presents the 2024 Grassroots Symposium, a testament to our commitment to fostering inclusivity, belonging, and positive impact through the beautiful game. Building on the success of previous editions, this year's Symposium will take place in the vibrant city of Salt Lake City, Utah, bringing together soccer practitioners, administrators, and visionaries from across the nation.

First Name: *

Last Name: *

Pronouns:

Email Address: *

Organization: *

Title/Position: *

Phone number: *

Birthdate (MM/DD/YYYY):

Please identify if you have a designation(s) below (mark any that apply). *

Ethnicity: *

Gender: *

Which of the following best describes the organization you are affiliated with? *

Which term best describes the income level of the community your organization serves? *

Majority High-Income

Majority Middle-Income

Majority Low-Income

Not Applicable

How many young people does your organization serve on an annual basis? *

Did you ever attend the Urban Soccer Symposium, hosted by the US Soccer Foundation? *

Yes

No

If Yes, how many times? If no, write N/A. *

Did you attend the 2023 Grassroots Symposium, held in St. Paul, Minnesota? *

Yes

No

How did you learn about the Grassroots Symposium? *

We strive to host inclusive, accessible events that enable all individuals, including individuals with disabilities, to engage fully. As such, please let us know what accommodations we can provide to help all attendees engage fully: *

Do you have any food allergies? *

Yes

No

If yes, please list.

Are you interested in attending the Evening Reception on Friday, September 20th at 5:00pm? (More details will be shared as they become available). *

Yes

No

Would you be interested in attending the Real Salt Lake vs. Portland Timbers match on September 21 at 7:30 pm? (Tickets + Transportation will be provided) *

Yes

No

I hereby grant a license to US Youth Soccer, and their agents, including any advertising agencies, to use and to license others to use my name, recorded voice, image picture or likeness in any live or recorded audio, video or photographic display or other transmission for purposes of promotion an duplicity in connection with the Grassroots Symposium and any future US Youth Soccer events or programs and hereby waive any rights of compensation or ownership thereto.

I have read and I understand this model release and authorization to video/photograph. *

I Accept

I Do Not Accept

Consent for Networking on Event App:

As part of our event experience, we'd like to enhance networking opportunities for you. By consenting below, your basic information (name, organization, and email) will be shared with fellow attendees on the event app. This streamlines networking and saves you time later.

Your privacy is important, and only essential details will be shared. If you choose not to consent, you can still use the full functionality of the app to enjoy your Symposium experience.

I consent to share my information for networking. *

I Consent

I Do Not Consent

Hotel Information

US Youth Soccer has secured a special group rate of $139/night at the event venue, the Radisson Downtown Salt Lake City.

US Youth Soccer has secured a special group rate of $139/night at the event venue, the Radisson Hotel Salt Lake City Downtown.

You can secure this special rate at this link.

IMPORTANT:

There is a city-wide convention taking place the same week as our event, severely impacting the availibility of rooms in Salt Lake City. We recommend booking at your earliest convenience.

Payment

Regular Pricing | $225.00 per person

Please indicate how many registrations you are purchasing below. (if more than 10, please reach out to Jess Nance at jessie.nance@gmail.com.) *

If you will be paying be check, please enter "Check" in the box below. If you will not be paying by check, please enter "Online" in the box below. *

If you are paying for more than one registration, please list the names of those you are covering. Click the Green plus sign to enter more names.

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If your registration was paid for, please let us know who it was paid by.

PLEASE NOTE: There will be a 3% processing fee added to your credit card payment.

To pay by check, please inform Jessie Nance (jessie@luminanceconsulting.com) and submit no later than 30 days after registering, but no later than September 1st, 2024, to the below address:

US Youth Soccer Association

9220 World Cup Way

Frisco, Texas 75033

Memo: Grassroots Symposium

To pay by check, please inform Sari Rose (srose@usyouthsoccer.org and submit no later than 30 days after registering, but no later than September 1st, 2024, to the below address:

US Youth Soccer Association

9220 World Cup Way

Frisco, Texas 75033

Memo: Grassroots Symposium