Jersey



|Team Roster | | |Team Roster |

|District |Club | | |District |Club |

|North Shore |      | | |North Shore |      |

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|Team | | |Team |

|Versus | | |Versus |

|Field | | |Field |

|Date/Time | | |Date/Time |

| □ League □ Cup | | | □ League □ Cup |

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| □ Home □ Visiting | | | □ Home □ Visiting |

|A team list showing a unique Jersey #, full first and last names of players | | |A team list showing a unique Jersey #, full first and last names of players |

|taking part in a game is to be made out on this form in duplicate and signed by | | |taking part in a game is to be made out on this form in duplicate and signed by |

|a team official. Two copies are to be handed to the referee before commencement | | |a team official. Two copies are to be handed to the referee before commencement |

|of the game. The referee will sign one copy and give it to the other coach, | | |of the game. The referee will sign one copy and give it to the other coach, |

|retaining the other copy, which will be the official team list, in the event | | |retaining the other copy, which will be the official team list, in the event |

|there is a protest. Team lists shall not contain the names of players or team | | |there is a protest. Team lists shall not contain the names of players or team |

|officials currently under suspension. | | |officials currently under suspension. |

|Jersey |First Name |Last Name | | |Jersey |First Name |Last Name |

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|Team Official:__________________________ | | |Team Official:__________________________ |

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|Referee:________________________________ | | |Referee:________________________________ |

| □ I have checked the photo ID | | | □ I have checked the photo ID |

|It is the team's responsibility to provide two copies of the team list to the | | |It is the team's responsibility to provide two copies of the team list to the |

|referee and to obtain a copy of the opposition's team list. | | |referee and to obtain a copy of the opposition's team list. |

|U-18/17 2x45, U-16/15 2x40, U-14/13 2x35, U-12/11 2x30. | | |U-18/17 2x45, U-16/15 2x40, U-14/13 2x35, U-12/11 2x30. |

|Only U-17 & U-18 may carry 20 players. | | |Only U-17 & U-18 may carry 20 players. |

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