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Comment
New Club Application
Following is the club application to register with NCSA
Fields marked with * are required
Information Date
7/4/2008
*
Club
*
Address
*
Town
*
State/ZIP
President
*
Name
*
Address
*
Town
*
State/ZIP
*
Home Phone
Fax
Work Phone
Cell Phone
*
EMail
*
USSF Certified Referees
*
Home Fields - Full Sided
*
Home Fields - Small Sided
- Enter number of teams under the AgeGroup column in Boys/Girls Row
- Play Levels are A, B, C, D, E, F, G
U-07
U-08
U-09
U-10
U-11
U-12
U-13
U-14
U-15
U-16
U-17
U-18
Boys
Boys Level
Girls
Girls Level
Comment/Resume/History
Contact the league office for Confirmation in 24 after Submiting the Form
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