Team Name________________Captains Name:_________________________
Team Colors_________________Email_________________Phone___________

LAST NAME FIRST NAME PHONE# AWAY JERSEY# HOME JERSEY# HOME ADDRESS
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

Date:___/___/___   Captains First and Last Name:_______________________
Captains Signature:_____________________________
by signing this roster, the captain above guarantees everyone on this roster signed a waiver and is over 18 years old.