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Youth Athletics Roster

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                                                        CITY OF ROANOKE PARKS & RECREATION
                                                                  Youth Athletics Roster Form                                        YEAR


   REC. CLUB:                  Region I            WRRC        SCK          GSA

             SPORT:                   Basketball                 Football                 Softball                League:
                                      Baseball                   Soccer                   Cheerleading                               girls            boys


    TEAM NAME:


              Head Coach                      Street               City & Zip Code        Home Phone            Work/Cell                    Email:




         Assistant(s) Coaches:                Street               City, State, Zip       Home Phone            Work/Cell                    Email




                 Players Full Name                                                                                                                Birthdate
                                                          Address                     City, ZIP           Phone             School    Age
                  (First,Middle,Last)                                                                                                             mm/dd/year

example                Nat Franklin                    210 Reserve Ave.           Roanoke, 24016      (540) 111-2222        WFHS       13         01/01/1996
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                                          PLEASE MAKE SURE ALL ITEMS ARE FILLED OUT COMPLETED:
                                          Coaches information is filled out completely. (This includes phone and email address)