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ASA Provincial Roster Form 2012

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ASA Provincial Roster Form 2012 Powered By Docstoc
					            ALBERTA SOCCER ASSOCIATION
                                   Official Provincial Roster                                                                             District Association:
                                                                                                                                                      Season: Outdoor 2012
                     Team Details                                        Primary Contact                                                               Competition Level
     Tournament Name:                                                  Name:                                                                                   Age Group:
            Team Name:                                          Cell Phone #:                                                                                    ASA Tier:
                Gender:                                                E-Mail:
Player Details
                    Surname             First Name                            Address            Postal Code     Mo.     Day     Year        Phone #              Registration #
            1
            2
            3
            4
            5
            6
            7
            8
            9
           10
           11
           12
           13
           14
           15
           16
           17
           18
           19
           20
           21
           22
           23
           24
           25
Provincial Roster Maximum: 20 Players for Youth Teams, 25 Players for Senior Teams
Team Staff Details
                    Surname             First Name                            Address          Postal Code       Mo.     Day     Year         NCCP #               CIPC Expiry
COACH
A. COACH
A. COACH
MGR
BY SIGNING THIS ROSTER I ACKNOWLEDGE THAT ALL DETAILS CONCERNING PLAYERS AGE AND AREA OF RESIDENCE ARE CORRECT     Coaches Signature:
AND CONFORM WITH THE RULES GOVERNING PLAYER AND TEAM ELIGIBILITY FOR THE LEAGUE AND TOURNAMENT.                  Zone/Club Signature:
ON BEHALF OF THE TEAM, WE AGREE TO ABIDE BY THE RULES AND REGULATIONS AS SET OUT BY                                 District Signature:
THE DISTRICT, THE ALBERTA SOCCER ASSOCIATION AND THE CANADIAN SOCCER ASSOCIATION.                                Provincial Signature:

				
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posted:10/27/2012
language:Latin
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