New Gold ASA Roster

Team Name *

Request Division * Please select the appropriate division.

Special Scheduling Requests Please note any special requests here

Captain's Name (PLEASE INCLUDE YOURSELF BELOW AS A PLAYER TO BE PROPERLY INCLUDED) *

Mailing Address * Address, City, State

Zip Code * Zip Code

Phone Number *

E-Mail Address *

Do you want to register for the end of season tournament for $160? *

Yes

No

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