Sports Roster / Registration Form - City Of Lompoc Recreation Division

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CITY OF LOMPOC
RECREATION DIVISION
125 WEST WALNUT AVENUE
LOMPOC, CA 93436
SPORTS ROSTER / REGISTRATION FORM
Team Name:
Sport:
Type: Mens Coed Womens
Manager Name:
Rank from 1 - 3 night team prefers to play (No night guaranteed)
Address:
SU
M
T
W
TH
F
SU ___
City:
Zip:
Min/Max = Softball 12/20
Soccer 7/15
Basketball 7/10
Home Phone
Work Phone
E-Mail Address_____________________________________
Season (Circle): Winter/Spring
Summer
Fall
Year: ___
Maximum players for Men’s Softball is 16…..Maximum for Coed Softball is 20
Players Name
Home Phone
Work Phone
Street Address
City
Date of Birth
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17. Sub -
18. Sub -
19. Sub -
20. Sub -
Managers Signature:
Date:
H://SPORTS/SPORTS ROSTER

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