ACSA LEAGUE OPERATOR INTAKE AND APPLICATION

Adult Competitive Sports Association (ACSA)
League Operator Application

This application is required for individuals or organizations seeking to operate ACSA-sanctioned adult sports leagues.

Submission of this application does not guarantee approval. ACSA reserves the right to approve or deny affiliation based on compliance with governance standards.

Annual Certification Fees:
• Single Sport Certification — $55

Certification is valid for one (1) year from date of approval.

ACSA LEAGUE OPERATOR INTAKE AND APPLICATION

SECTION 1

Applicant Information

First Name*

Last Name*

Primary Email*

Primary Phone*

Full Address*

Date of Birth*

Emergency Contact Name

Emergency Contact Phone Number

SECTION 2

Role & Experience

Have you previously operated a sports league?*

Name of League(s)

Years of Operation

Sports Managed

Estimated Teams per Season

SECTION 3

Organization Information

League / Organization Name*

Business Structure*

State of Registration

EIN

Business Address

SECTION 4

League Details

Sport*

City / Region of Operation*

Estimated Number of Teams*

Estimated Number of Players*

Season Format*

SECTION 5

Facilities

Primary Facility Name

Facility Address

Facility Type

Do you currently have facility approval?

SECTION 6

Officiating & Officials

ACSA requires that all games in ACSA-sanctioned leagues be officiated by ACSA-certified officials in good standing.

Operators may source officials through an existing referee association or through independent officials, provided all officials complete ACSA certification prior to officiating ACSA-sanctioned games.

How will your league source ACSA-certified officials?*

Name of Referee Association (if applicable)

Estimated Number of Officials Per Game

SECTION 7

Insurance & Risk Management

ACSA may require participation in the ACSA-facilitated insurance program depending on governance requirements.

Does your league currently carry insurance?*

Insurance Provider

Policy Type

SECTION 8

Compliance & Governance

SECTION 9

Disciplinary Authority Acknowledgment

Signature Block

Signature

Signature Block

By submitting this application, I certify that the information provided is accurate and complete.