Annual Leadership Report

Member Organization
Location of Member Organization's Principal Office
Name and Contact Information for All Officers of Member Organization
 NameAddressEmail AddressPhone Number
President
Vice President
Treasurer
Secretary/ Clerk
Registrar
CORI Submitter
Name and Contact Information for All Directors of Member Organization
 NameAddressEmail AddressPhone Number
Director
Director
Director
Director
Director
Director
Director
Director
Director
Director
Director
Director
Certifications
By checking the boxes below and by submitting this Annual Leadership Report to Massachusetts Youth Soccer Association, Inc. I am certifying the following on behalf of the Member Organization named above.
I certify that I have the authority to submit this Annual Leadership Report on behalf of the Member Organization and to make the certifications herein. *
I certify that the Member Organization shall comply with the Massachusetts Youth Soccer Constitution, By-laws and Policies as the same may be amended from time to time. *
I certify that all of the players, coaches, managers, administrators and other volunteer adults have been submitted to Massachusetts Youth Soccer for this soccer year and meet all of the requirements of Massachusetts Youth Soccer with regard to affiliation, playing age and criminal background checks. *
Signature
By typing my name below I intend to sign this Annual Leadership Report and my typed name shall act as my signature. *
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