Dual Roster Request Form

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Missouri Youth Soccer Association
Dual Roster Request Form
The following player is requesting they be allowed to multiple roster to the competitive teams
shown below. By signing this form, all parties attest to the fact that they have read and understand
the Missouri Youth Soccer Association rules for dual rostering and are willing to abide by those
rules. Both coaches must agree as to the designation of the primary team for the dual rostered
player.
NAME: ______________________________________________________ Birthdate: ____/____/____
Address: ________________________________ City: _________________ State: ___ Zip: ________
ID Number: _______________________________ Sex: ___M ___F
Signature of Player: ___________________________________________________ Date: ___/___/___
Signature of Parent: ___________________________________________________ Date: ___/___/___
Primary Team Name/Age Group: _______________________________________ Date: ___/___/___
Coach Name: ____________________________ Coach Signature: ____________________________
Secondary Team Name/Age Group: _____________________________________ Date: ___/___/___
Coach Name: ____________________________ Coach Signature: ____________________________
Primary League Registrars Signature: ___________________________________ Date: ___/___/___
Secondary League Registrars Signature: _________________________________ Date: ___/___/___
Missouri Youth Soccer Association Dual Roster Rules
1. A player may dual roster on two (2) competitive teams during the seasonal year.
2. Any player wishing to dual roster must complete a Missouri Youth Soccer Association
Dual Roster Request Form. This form will designate the player's primary and secondary
teams and must be signed by all listed on the form.
3. A player will be considered a transfer if any changes are made to the original Missouri
Youth Soccer Association Dual Roster Request Form.
4. A new form must be completed to change designation of primary team.
5. In the event of any schedule conflicts, the primary team will always take precedence.
6. Whenever a player changes his/her primary designation, all previously issued ID cards
must be turned into the respective Registrar prior to any new cards being issued.
7. A copy of the Missouri Youth Soccer Association Dual Roster Request Form must be
sent to the Missouri Youth Soccer Association State Office.
8. The Primary team league Registrar and the Secondary team Registrar must keep a copy
of the Missouri Youth Soccer Association Dual Roster Request Form.

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