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Tournament Team Insurance Form

Optional Tournament Insurance (OTI) is intended for youth teams whose clubs are not US Club Soccer members. If your club is a member, please obtain passcards through your club. OTI is not available to adult (U-20 and over) teams. Teams must be registered with a U.S. Soccer Federation affiliate to be eligible for OTI through US Club Soccer.

After you click Submit Application at the bottom of the screen the next page will be payment and the third page the roster download. Please read the instructions carefully.

Unless we have received your roster, so we know what players we are insuring, the coverage will not apply.  After receiving your roster we will send you a stamped and approved roster.  You must take the approved roster to tournament check-in. This special insurance coverage is only valid until the conclusion of the tournament. 

Please submit any questions to tournamentinsurance@usclubsoccer.org.


*Your Club's Name:
*Club Address:
*City:
*State:
*Zip:
*Phone:
 
*Your Team Name:
*Age Group:
*Your Name:
First Last
*Your Position:
*Your Email:
*Your Day Phone:
 
*Team Coach Name:
First Last
*Coach's Email:
*Coach's Phone:
*Name of tournament you are attending:
*Name of club hosting tournament:
*Dates you are attending:  
mm/dd/yyyy mm/dd/yyyy

Click the "Submit Application" button to proceed to the Application Payment Page.