Page 1

Team Name Coaches Name Coaches Number Team Rep Name

© Team Rep Number **Opposing coach must sign off on each player, each week** Jersey #

Player Name

Date of Birth Game 1 / / / / / / / / / / / / / / / / / / / / / / / /

Game 2

Game 3

Game 4

Game 5

AGE CALCULATION DATES (age group coincides with age as of August 1, 2013): PLAYER PROOF OF AGE REQUIRED U6: August 2007—December 2008 U8: August 2005—July 2007 U10: August 2003—July 2005 U12: August 2001—July 2003

Game 6

Make up

Make up

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