State and local associations operate leagues under the umbrella of the USASA. The national organization is split into 53 state associations across four regions:
Nationally, the USASA runs the following competitions for its affiliated teams:
- - a 32-team tournament, also open to USSF -affiliated youth teams.
- - a competition for coed teams. Each USASA region sends one representative team for entry into the Open division and another for entry into the Over 30 division.
- - men's and women's competitions for various senior teams.
- - four-team tournaments (men's and women's) composed of the regional winners among state select teams.
The USASA also enters eight teams (two per region) into the annual US Open Cup .
- The USASA enjoyed its greatest success when Dallas Roma FC (Texas, Region III) defeated CD Chivas USA by penalty kick shootout in the third round of the 2006 US Open Cup. The amateur team became the first USASA team to defeat a Major League Soccer side. They would later lose to the Los Angeles Galaxy in the fourth round.
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