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NEW JERSEY SOCCER ASSOCIATION

P.O. BOX 9765

TRENTON, NJ 08650

www.soccernjsa.com

NJSA U20/U23 DEVELOPMENT PROGRAM

NJSA CHAMPIONS LEAGUE

P.O. BOX 9765

TRENTON, NJ 08650

Application

U-20 Men _____ U-20 Women _____

U-23 Men _____ U-23 Women _____

TEAM NAME: _______________________________________________

MANAGER Name: _____________________________________________

Address:____________________________________________________

City: ___________________________ State: _______ Zip: ________

Phone: (____)_______________(H) (___)____________________(CELL)

E-mail: _________________________________________

ALTERNATE Contact: _________________________________________

Phone: (____)_______________(H) (___)____________________(CELL)

E-mail: _________________________________________

FIELD Name: __________________________________________________

Addr: ___________________________________________________

City: _______________________________ State: ____________

 

Return this application with the appropriate fee ($425 for Men and $375 for women), payable to NJSA, to:

NJSA

P.O. Box 9765

Trenton, NJ 08650

to print click here: Application   Program Info