U10 - U12 Official New England Premiership Roster
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Season:
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Club:
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State Association:
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Name of Team:
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Age Group U-
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Boys
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Girls
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Name of Coach:
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Email:
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(Cell)
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Address:
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City
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State
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Zip Code
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Tick
Box
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Player Name (First – Last)
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D-O-B
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Tick
Box
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Player Name (First – Last)
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D-O-B
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* Tick Box for players in attendance. MAXIMUM ROSTER SIZE: U10 – 12 PLAYERS, U11/U12 – 14 PLAYERS
Mass Youth Soccer Roster Verification:_______________________________ Date: ______________
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Coach Certification
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Club Certification(Club Official)
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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 club is properly affiliated.
Signature:______________________________________________________
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