DEADLINE FOR SUBMISSION OF APPLICATION, ROSTER HARD COPY, AND PAYMENT IS APRIL 25, 2011 DO NOT PRINT THIS PAGE YOU MUST PRESS SUBMIT TO ENTER THIS DATA AND GET YOUR PRINTABLE ROSTER Roster corrections or revisions require submission of the ENTIRE roster. No line item corrections will be accepted. NO ROSTER REVISIONS AFTER MAY 1, 2011  Select a Region418485868711163088914221455        Select Team GenderBoysGirls
Head Coach Contact Information	Alternate Contact Information
Last Name              First Name        Email Address  Cell Phone                (ex. 9495551212)	Last Name      First Name      Email Address   Cell Phone             (ex. 9495551212)

Team Roster - List players in numerical order by jersey number.
	Jersey #	AYSO ID #	Player Last Name	Player First Name	Date of Birth
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NoYes I have reviewed the above entry and am ready to submit this roster