Free class roster template 34
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Town/Club:

Date:

Team Name:
League:

Age:
Girls:
Team ID#:

Coach:
Address:
Ass’t Coach:
Address:
Shirt
#

Original:
Boys:
Div:

Change:

Shirt Color:
Section:

Phone:
City/State/Zip:
Phone:
City/State/Zip:
Last Name

First Name

Birth Date

Town

Phone

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2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Transfers:
1
2
3
4
5

Mass Youth Soccer Roster Verification:_______________________________ Date:
______________
(If Applicable)
Coach Certification
Club/Town Certification
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 noncompliance.

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:______________________________________________

Coach’s Signature
________________________________

Referee:
Opposing Team:

Sched. Date:
Winner:

Actual Date:
Score: