New York State West Youth Soccer Association
Permission to Participate in Adult Games Form
Name _____________________________________ Date of Birth _____________ Gender ___
Address ____________________________________ Registration Number _________________
City ____________________________________ State _______ Zip ____________________
NYSW Club ______________________ Current Youth Team_____________________________
PERMISSION TO PARTICIPATE IN ADULT GAMES
A youth player may play an unlimited number of adult games without losing his or her youth
eligibility. The youth player must notify his or her youth coach or other authorized team official
of the player’s intention to play adult games. The youth player shall request, in writing, (1)
eligibility clearance from the Youth State Association through which the player is registered, and
(2) permission from the appropriate Adult State Association. When the clearance and
permission have been granted, the Adult State Association has sole discretion in permitting a
youth player to play adult games and will be responsible for establishing the procedures under
which the youth player will be allowed to play. In the event of a conflict between an adult game
and a youth game, the youth game shall take precedence. A youth player who is required to sign
an adult form shall retain youth eligibility.
Signature of Youth Club Official ____________________________________________________
Date _________________________________
Adult Team Name _______________________________________________
Adult League Name ______________________________________________
Signature of Adult Association Official _______________________________________________
Date _________________________________
For NYSW Office Use Only
Permission to Play in Adult Games Form – Revised 8‐5‐2015