ABCDEFG
1
Team Name:
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3
Contact Information:
Jersey Color
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Name:
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Phone:
Division
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Cell:
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8
* Please note if a 2nd set of jerseys are available
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10
JerseyDate ofHighest
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Player NameNumberBirth (MM/YY)Level Of PlayAge
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1)
13
2)
14
3)
15
4)
16
5)
17
6)
18
7)
19
8)
20
9)
21
10)
22
11)
23
12)
24
13)
25
14)
26
15)
27
16)
28
17)
29
18)
30
19)
31
20)
32
THERE IS A MAX OF 20 PLAYERS
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Key:
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Levels of Play:College =
College or Junior A
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Varsity =
Junior B or High School Varsity
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JV =
High School Junior Varsity (3rd or 4th line Varsity)
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Men =Men's League
38
Beginner =
Began playing with past 2 years
39
40
Please email completed roster to michelle mensik Mmensik@sbcglobal.net or Jeff Sax Southbendhockey@yahoo.com