Team Registration for 2017 BWNYJSL Season

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

* required fields marked by asterisk

   
Member Club Name
*
   
Primary Playing Field Location
*

 

     If Other is selected,   please specify:
    

   
Team Name (do NOT include Club 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 (include Club ONLY IF Different)
Number of Players played on Travel last year
Number of Players younger than selected Age Group
Number of Players with No previous Travel Experience
   
   
   

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)

 

 
Gender Boys   Girls *
Age Group   *
Team Name   *
 
List any Field Problems or Availability Issues:
 

 

 

Primary Jersey Color
   
   
Coach Information:
First Name:   *
Last Name:   *
Address:   *
City   *
Zip Code:   *
Telephone:    *
License Held:  
Year Obtained:
   
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.

 

 
 

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