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Team Registration

* Club Name:

* Team Name:

* Division:

* Jersey Color:

* Head Coach:

Home Phone Number:

Cell Phone:

* Email Address:

* SEOS#:

Assistant Coach:

Home Phone Number:

Cell Phone number:

Email Address:

SEOS#:

Manager:

Home Phone Number:

Cell Phone Number:

Email Address:

SEOS#:

* Submitting Club Official's Name:

* Club Official's Position:

* SEOS#:

* indicates required fields