Carolina Champions League
Membership Application Request
Club Name
*
Club Website
*
Name of Club Director
*
Club Director Email
*
example@example.com
Name of Club Admin
*
Club Admin Email
*
Club Social Media Pages
*
Current Member of US Club Soccer?
*
Yes
No
Teams in your club (Gender & Birth Year)
*
Does every coach in your organization have at least a grassroots license or equivalent?
*
Uniform Retailer
*
Submit
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