2017 MIDWEST WARS-TEAM ROSTER

2017 MIDWEST WARS-TEAM ROSTER STATE/PROVINCE ABBREVIATION: ________ DIVISIONS: (circle one)

SKILL LEVEL: AAA

Team Roster due prior to first game. TEAM NAME: _______________________________________________________________ AA

A (circle one)

6u - 8u – 10u - 12u - 14u - 16u - 18u - JUNIOR – PRO - SENIOR AA - SENIOR A – WOMEN’S - MASTERS 35over TEAM MANAGER INFORMATION: FIRST AND LAST NAME: EMAIL ADDRESS:

________________________________________________________ HOME PHONE: (______)_________________________

STREET ADDRESS:

FIRST NAME

___________________________________________________ CELL PHONE: (______)__________________________

______________________________________ CITY: ________________________ ST/PR: _____ ZIP CODE: ___________ LAST NAME

JERSEY #

POS

RHA MEMBER #________ DATE OF BIRTH (office use) RES_ POA_

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RHA