|
 Bring this original Roster
form filled out and signed
by your DC to Team Check-in
Official State Roster (3v3)
Dates of
Competition .
State Cup Regional
Cup League xTournament .
Tournament
Name
|
|
Name of Team
|
Affiliate/Club Name
|
Age Group
|
Competition
|
Seasonal Year
|
|
|
|
|
Boys Girls
|
|
|
Signature
of Coach
|
Signature
of State Official
Date
|
|
Head Coach:
|
Assistant Coach/Manager:
|
|
|
|
|
Street Address:
|
Street Address:
|
|
|
|
|
City,State,Zip:
|
City,State,Zip:
|
|
|
|
|
Phone
|
Fax
|
Business Phone
|
Phone
|
Fax
|
Business Phone
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
District
|
Club/Team
|
Number
|
League
|
Colors : Jersey:
|
|
Shorts:
|
|
Socks:
|
|
|
 
|
Alt. Jersey:
|
|
Shorts:
|
|
Socks:
|
|
|
|
|
NAME (Last, First, MI)
|
gUEST pLAYEr (Team Code)
|
Player Pass #
|
D.O.B.
(M/D/Y)
|
Jersey #
|
Alt.
#
|
|
1
|
|
|
|
|
|
|
|
|
|
2
|
|
|
|
|
|
|
|
|
|
3
|
|
|
|
|
|
|
|
|
|
4
|
|
|
|
|
|
|
|
|
|
5
|
|
|
|
|
|
|
|
|
|
6
|
|
|
|
|
|
|
|
|
|
|
Official
Sponsors: REEBOK GATORADE KELLOGG’S CHEVROLET TSI Soccer
REV 11/97
|