Team Roster Form

Please Print
Team Name: _____________________________

Coach: _____________              Manager: __________________

Contact Information:   Coach/ Manager   Please circle contact person

Email: __________________      Fax: ___________________

Address: _____________________________________

PH: ___________

Division:       Girls (  )     Boys (  )    Women’s Open (  )  Men’s Open (  ) U15 Girls (  ) U15 Boys (  )

Please print

Name Address (please include City and Zip Code) Birthday
(month/year)
Email Telephone
(please include area code)
         
         
         
         
         
         
         
         
         
         
         
         
         
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