Forms

FORMS

Extended Payment Plan Request Form
    • Use to request a 9-payment or other plan for the Competitive Program
Financial Aid Form
    • Use to request Comp or Rec financial assistance. Please view our Financial Assistance page before applying.
Sibling Discount Request Form
    • Use to request a credit or voucher code for Comp registration
    • For Comp, receive a voucher code prior to registration or a credit adjustment after
    • For Rec, receive a voucher code prior to registration
Request for Refund or Credit Form

Use to request a refund or credit due to season-ending injury or moving. Download and fill the form and submit it with the required documents (ex., doctor’s letter).

Email to: admin@spacecoastsoccer.org

Mail to: PO Box 410301, Melbourne, FL 32941

Parks & Rec Waiver: All players
SCUSC Waiver:  All players
FYSA Waiver: players whose team plays in GCF or BYSL

All registered players are covered by supplemental medical insurance provided by the organization under which they play. Comp players are covered through FYSA, Comp NPL players are covered through FYSA and U.S. Club, Rec players in BYSL are covered through FYSA, Rec in-house players are covered through USSSA.

If your player is injured during a game or at practice, you can file a claim to help cover the costs of medical treatment.

SCU Injury Report Form

Player injuries must be reported to the Club. Complete the form electronically and submit it to admin@spacecoastsoccer.org or give handwritten reports to Directors. The fillable PDF can be typed in and saved.

FYSA – GCF And BYSL Teams

FYSA Notice of Possible Head Injury/Concussion

To be filled and presented to the Club at the time of the incident or shortly thereafter.

FYSA Insurance Page

Who is covered? What is covered?

FYSA New Online Claim Form

 
US Club – ECNL, ECNLRL And FCL Teams

US Club Insurance Information page

Claims Page with Claim Form and instructions.

US Club Insurance Claim Verification Form (#R011, fillable PDF).

The team coach or manager will submit this form for processing when a parent submits an insurance claim for one of your players. This information provides verification of the player’s injury prior to submitting the claim to the insurance company for review.

USSSA – In-House Rec Teams

USSSA InsuranceContact admin@spacecoastsoccer.org