Team Registration [Premier Division ($270 fee) - All Other Divisions ($250 fee)]
$50 discount if payed at the captains meeting
Team Name*:
Division:
Captain's First Name*:
Captain's Last Name*:
Address 1*:
Address 2:
City*:
State*:
Zip*:
Home Phone*:
Work Phone:
Cell/Pager:
Email*:
Roster (without captain)
Player 2:
Player 3:
Player 4:
Player 5:
Player 6:
Player 7:
Player 8:
Additional $25 is required for each game for field and referee fees