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NEW 2012-2013 CL-SCASA Team Roster m d1 6v6 by xiaopangnv

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									                             SC AMATEUR SOCCER ASSOCIATION TEAM REGISTRATION FORM FOR CENTRAL LEAGUE                                                                                                             Please make 1 payment to "CL-SCASA"                                  The cells below are available for Team Rep. modification and use if needed, but will not print.
                                                                                           www.scamateursoccer.org                                                                                                      $335.00   TOTAL AMOUNT DUE FOR BOTH                                     You can copy to a new sheet if you want to print or format the information.
STATE ASSOCIATION: SCASA                                                                                                                         INITIAL ROSTER (date):                                                 $335.00   TOTAL AMOUNT DUE CL                 Total CL      CL Team      Total Fee      Referee   (Ref fees are paid at
LEAGUE:              Central League                               UNIFORM COLOR: Primary:                                             LATEST UPDATE ROSTER (date):                                                         $0.00 TOTAL AMOUNT DUE SCASA               Player fees    Fee Due      Due CL      Fees/team the field by each team)
TEAM NAME:                                                                     Secondary:                                                               SEASON: Fall 2012                                        Please sent payment to CL-SCASA at:                      $60.00     $275.00       $335.00
TEAM REPS:                                                            (Principal Team Rep) - if not a player please provide contact info below               DIVISION: Pick Type                                 3202 Fernandina Rd.                                                275.00 must be made out to ICRC
                                                                      (Secondary Team Rep) - if not a player please provide contact info below         LEAGUE TYPE: 6v6                                          Columbia, SC 29210                                                 the remaining balance need to be out to Central League SCASA
                                                                                                                                                     SEASONAL YEAR: 12/13



                                      Gender
                                                                                                                                                 TELEPHONE                                                           SCASA Player Payment Information                 CL Player




                                                                                                                      State
     NAME               NAME                   PLAYER     Birthdate                                                            ZIP                                                                                                                             Drop
                MI                                                            ADDRESS                  CITY                                                                             E-Mail                                                                 Add
     (First)            (Last)                 PASS No.    mm/dd/yy                                                           CODE     Home         Cell       Work                                               SCASA Fee Due    Season Paid   League Paid           Fee Due
1                                                                                                                                                                                                                                                                       $5.00
2                                                                                                                                                                                                                                                                       $5.00
3                                                                                                                                                                                                                                                                       $5.00
4                                                                                                                                                                                                                                                                       $5.00
5                                                                                                                                                                                                                                                                       $5.00
6                                                                                                                                                                                                                                                                       $5.00
7                                                                                                                                                                                                                                                                       $5.00
8                                                                                                                                                                                                                                                                       $5.00
9                                                                                                                                                                                                                                                                       $5.00
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** Dual Fee: Must be paid when a player registers in more than one Regional League. After an individual has been initially registered by SCASA for $25 in a Regional League, the cost will be $5 for each additional Reagional League membership during
the seasonal year. The SCASA Seasonal Year membership begins Sept. 1 and ends Aug. 31. *A $25 fee will be assessed for all returned checks. All SCASA fees due must be paid before a player or team will be registered to play.
                      SCASA CERTIFIED ROSTER & GAME DAY CARD
                                SOUTH CAROLINA AMATEUR SOCCER ASSOCIATION
                                                     www.scamateursoccer.org
             THE SCASA REGISTRAR'S STAMP MUST BE PRESENT BELOW THE LAST NAME LISTED TO BE VALID.
                     VERIFY EACH PLAYER WITH THEIR CURRENT SCASA CERTIFIED PLAYER PASS.

             LEAGUE: Central League                                        TEAM NAME:
             SEASON: Fall 2012                                           LEAGUE TYPE: 6v6
            DIVISION: Pick Type                                 ROSTER ISSUE DATE:
         TEAM REPS:                                                                                           GAME DATE


                                                                  PLAYER PASS #                               JERSEY
      FIRST NAME           MI        LAST NAME                                                    D.O.B.         #
                                                                                                                       COMMENTS
                                                                (assigned by SCASA)
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NOTE: League Officials may approve the use of the SCASA alternate check-in procedure when deemed necessary.


     Team Rep Signature: ___________________________________

								
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