Online Final Roster Submission

(Not Mandatory * You can bring an Official League Roster to check-in)

The LDC allows up to 5 Guest Players.

Fields designated with a * are REQUIRED.

*Team Name :
*Age Group : M F
*Team Contact :
Phone :
*Cell :
*Email :
*Address :
*City :
*State :
*Zip :
 
Colors  
Jersey :
Short :
Socks :
Alternate :
 
Player Name Birthdate USYSA# Jersey # Position
Coaches


Typed name on this form affirms this is the true and accurate Team Roster.

*Name:    *Date:



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