Facility Insurance Application

Washington Youth Soccer provides Certificate of Insurance for soccer fields in a variety of locations, including those owned by schools, parks, and private entities. Certificates of Insurance are issued to Associations not Clubs.

Complete the form and then click save. The application will then be submitted electronically to Washington Youth Soccer. A Certificate will be mailed to you within 10 days.

For complete details on what our facility insurance offers click here.

Name of Association Officer requesting certificate

Requesting Association Officer:

Member Association:

Contact Email:

Enter the name of the certificate holder

Name of Certificate Holder:

Facility Name:

Address:

City:

State:

Zip:

Special Instructions:

Season:

Submit Application Cancel