Player Special Request

I have a placement request, what should I do?
Fill out this form and use the categories to select what you are requesting. Types of requests include Team Friend/Buddy (want to be placed with this one other player), Play Up a Division, Not Placed With (volunteer or player), Volunteer Buddy (want to volunteer with this person), Player w/ Family Volunteer (family volunteer has independent account and is not associated to the player), & Medical / VIP Placement. We cannot guarantee requests will be honored. Please fill out two forms when needed, for example if you wish to play in a higher division with a friend, please fill out one form for each request.

Please be sure you enter the legal names in this form. We need legal first name and legal last name in order to look up records/data.
Your Contact Information
Required Field

Your First Name

Required Field

Your Last Name

This field has a required format of 541-000-0000.

Your Phone No. (541-000-0000)

Required Selection

Please select the type of request.

Your Player Information
Required Field

First Legal Name of Player

Required Field

Last Legal Name of Player

Required Field

Required Field - Format "YYYY"

Year of birth for player in YYYY format.

Required Input

Do not place with this player or volunteer?

Required Field

Other Person's Name

Required Field

Required Field

Brief Note

Required Field

Please enter your medically related request, if asking to play down a level, please include the division.

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After you submit this form, your request will be processed by the placement team.
Problems? Check above for validation errors. If you still have issues, save this page (Ctrl+S) and contact the webmaster.

American Youth Soccer Organization - Region 149
5060 SW Philomath Blvd #193, Corvallis, OR USA
AYSO Region 149 Game Fields