North Carolina Youth Soccer Association
PO Box 18229
Greensboro, NC 27419
Phone: 336-856-7529
Fax: 336-856-0204
E-mail: rachel@ncsoccer.org

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For completion by adult participants of NCYSA Associations, NCSRA, State Select/ODP, and NCYSA whether coach, assistant coach, substitute coach, staff coach, team manager, skills trainer, director of coaching, associate director of coaching, athletic trainer, program administrator, referee, referee assistants, fourth official, assessor, instructors, certified referee assignor, ODP/State Select coaches and administrators, and Association officer employed, serving as a volunteer of, serving as an independent contractor of, or endorsed by an Association or a team of an Association (each such person being 'associated' and having an 'association' with such Association)

Select Status for your Registration:

	This is my first registration in 2011-12. I have previously registered with NCYSA.
	I have never submitted a Risk Management registration form to NCYSA before.
	I want to change some of my personal information on file in 2011-12.
	I want to add another position.