Approval to Travel to Sanctioned Tournaments Outside Of Alberta

Transcription

1 Approval to Travel to Sanctioned Tournaments Outside Of Alberta By virtue of the signatures below, the following team is approved to travel outside of Alberta to compete in the sanctioned tournament below: Team Name: District Association: Age and Tier: M F Coach: Manager: Phone #: Phone #: Tournament Name: City, Province/State/Country: Phone #: Travel Dates: Signatures of Approval Club President (if applicable): Roster Included and Approved by District: District Association: Alberta Soccer Association: Alberta Soccer Administrative Fees (incl. GST) Six weeks (or more) before travel $ < 6 weeks before travel $ Please note: we cannot guarantee the sanctioning of international travel for permits that are received less than six weeks prior to departure. When traveling outside of Canada only: The above team acknowledges that Excess Travel Insurance is mandatory and covers all injuries on and off the field while outside of Canada at a cost of $2.00 per member per day, including travel days.

2 INTERNATIONAL TRAVEL PERMIT SUMMARY DATE: TEAM NAME: TOURNAMENT NAME: TOURNAMENT LOCATION: DATE(S) OF TOURNAMENT: DATE(S) INCLUDING TRAVEL: TOTAL NUMBER OF DAYS TRAVELLING: Please refer to > Member Services > Insurance > Contact Information and Forms > Incidents Outside of Canada. I have reviewed and understand the process for making an insurance claim while traveling outside of Canada ALBERTA SOCCER ADMINISTRATION FEE Travel within the United States (inclusive of GST): PLAYER/OFFICIAL INSURANCE FEES (Days of Travel x $2.00 Insurance x Number of Players/Officials) DAYS OF TRAVEL: NUMBER OF PLAYERS: NUMBER OF OFFICIALS: INSURANCE FEES TOTAL: LOCAL DISTRICT FEE(S) LOCAL DISTRICT ADMINISTRATION FEE (IF APPLICABLE): LOCAL DISTRICT LATE FEE (IF APPLICABLE): TOTAL PAYABLE:

3 Alberta Soccer Association Governing Body of Soccer in the Province of Alberta Avenue Edmonton, AB T5B 0C3 (p) (f) TRAVEL PERMIT ADDENDUM Travel Application for participating in an Exhibition match series and/or Training camp This form MUST be completed if your travel plans include exhibition match series and / or training camp outside of Alberta. Description (Team name, Club, Age, Tier): Name (Coach or Team Manager): Third Party Travel Manager (if applicable): Football Association (Provincial or State): Address of Training Camp w/ Dates: Opponents for Exhibition matches including Addresses & Dates of Matches Match 1: Match 2: Match 3: Match 4: Match 5 or more: ALBERTA SOCCER ASSOCIATION SIGNATURE OF AUTHORISATION Edmonton, Alberta, Canada

4 Travel ALBERTA SOCCER ASSOCIATION Travel Roster District Association: Team Details Primary Contact Competition Level Tournament Name: Name: Age Group: Team Name: Cell Phone #: ASA Tier: Gender: Player Details Surname First Name Address Postal Code Mo. Day Year Phone # Registration # Team Staff Details COACH Surname First Name Address Postal Code Mo. Day Year Coaching Cert. CIPC Expiry A. COACH A. COACH MGR BY SIGNING THIS ROSTER I ACKNOWLEDGE THAT ALL PLAYERS AND COACHES LISTED ARE REGISTERED AND IN GOOD STANDING WITHIN OUR CLUB/DISTRICT. ALL GUEST PLAYERS HAVE BEEN DULEY INDICATED AND LETTERS OF RELEASE ARE INCLUDED WITH THIS APPLICATION. Team/Club Signature: District Signature: Provincial Signature:

5 Application form for participating in an international match or competition Preamble: In accordance with arts 7 and 12 of the FIFA Regulations Governing International Matches, a member who intends to participate in an international match or competition must obtain prior authorisation from FIFA. The applicant intends to participate in an international match or competition. Consequently, the applicant, CANADIAN SOCCER ASSOCIATION submits the following authorisation request in order to participate in the following international match or competition: Description: arranged by Name: on the territory of Football Association: Teams: Date: Head of Delegation: The signatory confirms that the necessary documentation pursuant to Appendix 1 is duly attached. In this regard and in accordance with art. 12 par. 1 of the FIFA Regulations Governing International Matches, the signatory acknowledges that FIFA will only consider fully completed applications. Otherwise, FIFA may reject or charge additional fees for any application that is not filed in good time and/or is incomplete. CANADIAN SOCCER ASSOCIATION Ottawa, Ontario, Canada DATE: PETER MONTOPOLI, General Secretary