Mass Youth Soccer/League Team Roster Form
Type in Alphabetical Order
Affiliated with FIFA – USSF - USYSA
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Town/Club: |
Date: |
Original: Change: |
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Team Name: |
Age: |
Girls: |
Boys: |
Shirt Color: |
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League: |
Team ID#: |
Div: |
Section: |
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Coach: |
Phone: |
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Address: |
City/State/Zip: |
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Ass’t Coach: |
Phone |
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Address |
City/State/Zip |
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Shirt# |
Last Name |
First Name |
Birth Date |
Town |
Phone |
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Transfers:
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1 |
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2 |
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3 |
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Mass Youth Soccer Roster Verification:_______________________________ Date: ______________
(If Applicable)
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Coach Certification |
Club/Town Certification |
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I Certify that I will comply
with Mass Youth Soccer and Leagues bylaws, playing rules, & Coach’s Code
of Conduct, and know the penalties for non-compliance. Coach’s Signature
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All players and all
coaches/managers meet all Mass Youth Soccer & League requirements for
affiliation and playing age, and the town/club is properly affiliated. Signature:______________________________________________ |
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Referee: |
Sched. Date: |
Actual Date: |
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Opposing Team: |
Winner: |
Score: |