Eastern New York
Youth Soccer Association

Travel Authorization

Enter the information below to receive authorization to travel.  When this is submitted, you will receive your Authorization Confirmation at the email address you provide below.  

Please make sure the information entered below is correct.  Individuals / Teams / Clubs found to have submitted forms with falsified information may be subject to penalties / sanctions by ENYYSA.     (* indicates required information)

Coach's First Name:  *
Coach's Last Name:  *
Email Address:  *
Street:  *
City:  *
State:  *
Zip code:  *
Home Phone (with areacode):  *
Other Phone (with areacode):
Team Name:  *
Club Name:  *
ENYYSA League:  *
Age Group:  *
Tournament Attending:  *
Tournament City:  *
Tournament State:  *
Tournament Affiliation:  *
Tournament Dates:  * (ie: April 22-24, 2004)



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