Area 3E Select Sevens U10, U12, U15 Tournament Team Entry Form

Region

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Team Name:

_________________________________________________________________

 

Division (circle one): 

U10 B

U10 G

U12 B

U12 G

U15 B

U15 G

 

Coach:

_____________________________________

Tel:

____________

 

e-mail: __________________________________________T-shirt:  AS AM   AL   XL   XXL

 

Referee:

_____________________________________

Tel:

____________

 

e-mail: ________________________________________ T-shirt: AS AM   AL   XL   XXL

Asst. Ref.

______________________________________

Tel:

____________

 

e-mail: ________________________________________ T-shirt: AS AM   AL   XL   XXL

Team Roster (minimum 7 players, maximum 12 players)

 

Name

Telephone

T-Shirt (circle one)

1

___________________________________

________________

YS YM YL AS AM AL XL XXL

2

___________________________________

________________

YS YM YL AS AM AL XL XXL

3

___________________________________

________________

YS YM YL AS AM AL XL XXL

4

___________________________________

________________

YS YM YL AS AM AL XL XXL

5

___________________________________

________________

YS YM YL AS AM AL XL XXL

6

___________________________________

________________

YS YM YL AS AM AL XL XXL

7

___________________________________

________________

YS YM YL AS AM AL XL XXL

8

___________________________________

________________

YS YM YL AS AM AL XL XXL

9

___________________________________

________________

YS YM YL AS AM AL XL XXL

10

___________________________________

________________

YS YM YL AS AM AL XL XXL

11

___________________________________

________________

YS YM YL AS AM AL XL XXL

12

___________________________________

________________

YS YM YL AS AM AL XL XXL

Regional commissioner must sign below indicating that all team members are currently registered AYSO players, meet the maximum age requirement for their division, and are participating on a regular AYSO team during the current Spring season.

R.C. Signature:

________________________________________________________________________

Please return completed form with one check for entry fee of $12 per player, checks payable to AYSO Area 3E, to

Mike Wessing, 6198 West Carter Rd., Rome, NY 13440.