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U14, 16 & U19 TEAM APPLICATION
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2017 NIS Team House League Registration For
U14, 16 & U19 TEAM APPLICATION Attach Individual Registration Forms & Checks DUE: FEBRUARY 5TH, 2017
Team Name: Team Age Category (check the correct box): Team Coach Information
U16
U14
U19
Team Manager:
Name:
Name:
Phone No:
Phone No:
Alt. Phone:
Alt. Phone:
Email:
Email:
* Coach or team manager must attend coaches meeting. Make sure your players indicate on their individual registration form that they are on your team
Team Roster NAMES
REGISTRATION FORM Online
or
Form Attached
PAYMENT Online or Check or
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Return to: Steve Nash 14500 Bowers Dr. NW, Anoka, MN 55303
Cash
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