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Certificates of Insurance

Complete this form in the event the owners or operators of game and practice facilities require proof of liability insurance before allowing member organizations to use those facilities.

Organizations making requests must be Eastern Pennsylvania Youth Soccer members in good standing with an Annual Membership Form on file.

As of July 1, 2013, completed certificates will be sent to the Club President and Club Insurance Coordinator ONLY. It is their responsibility to make sure the property owner receives the certificate.

If you are requesting a certificate for a commercial facility, Eastern Pennsylvania Youth Soccer will only issue a certificate if the commercial facility is a sanctioned facility (Permission to host on file).


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Eastern Pennsylvania Youth Soccer
4070 Butler Pike, Suite 100
Plymouth Meeting, PA 19462
P: 610.238.9966
F: 610.238.9933
©2013 Eastern Pennsylvania Youth Soccer Association. All rights reserved.
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