New York State West Youth Soccer Association Permission To Participate In Adult Games Form

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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 

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