Buffalo & Western New York Junior Soccer League

Team Registration for 2012 BWNYJSL Season

U8-U14 open until Feb 15 - U15-19 open until Mar 15

* required fields marked by asterisk

Member Club Name

Team Name

Gender:

Boys Girls *

Desired Age Group Placement

Estimate Team Strength

New or Returning Team? -- Select and Fill in One Section Only *

New Team

Number of Players who played on Travel last year
Number of Players younger than selected Age Group
Number of Players with No previous Travel Experience

Returning Team

Age Group Last Season	*
Team Name Last Season

Number of Players played on Travel last year
Number of Players younger than selected Age Group
Number of Players with No previous Travel Experience

Primary Playing Field Location

If Other is selected, please specify:

If this team is sharing the Playing Field on Same Night with another team, please enter the other team's Gender, Age Group, and Team Name

(If not sharing field, select "Not Shared" under Age Group)

List any Field Problems or Availability Issues:

Primary Jersey Color

Coach Information:

Team Contact E-Mail

Comments (special considerations for placement):

Email Address of Submitter:

Please click the SUBMIT button. Your Club will be billed for the bond and league fee.