BCSA FALL LEAGUE TEAM ENTRY
ABOUT THE TEAM:
(DO NOT REPEAT THE CLUB NAME IN THE TEAM NAME-IT WILL BE ADDED AUTOMATICALLY!)
Club:
Please select
Athens SA
BC United
Chenango
Cooperstown
Corning
CCYSA (Cortland)
Dryden
Empire United
GBSA
Hiawatha
IYSA
Lansing
Maine-Endwell
Newark Valley
NEBYSA
Oneonta
Schuyler
Sidney
Soaring Capital
S-VE
Taughannock
UVFC
Vestal
T
Team Name:
T
Age Group:
Please select
Under 8
Under 10 Boys
Under 10 Girls
Under 13 Boys
Under 13 Girls
Level of Competition:
Please select
High
Medium
Low
Jersey Color:
Is this team entering State Cup?:
Please select
Yes
No
Home Field:
Prefer to play:
Please select
Saturday
Sunday
Either
Dates Team Cannot Play: (Limit of three) 1.
X
Please select
9/10/2022
9/11/2022
9/17/2022
9/18/2022
9/24/2022
9/25/2022
10/1/2022
10/2/2022
10/8/2022
10/9/2022
10/15/2022
10/16/2022
10/22/2022
10/23/2022
10/29/2022
10/30/2022
11/5/2022
11/6/2022
XX
2.
X
Please select
9/10/2022
9/11/2022
9/17/2022
9/18/2022
9/24/2022
9/25/2022
10/1/2022
10/2/2022
10/8/2022
10/9/2022
10/15/2022
10/16/2022
10/22/2022
10/23/2022
10/29/2022
10/30/2022
11/5/2022
11/6/2022
XX
3.
X
Please select
9/10/2022
9/11/2022
9/17/2022
9/18/2022
9/24/2022
9/25/2022
10/1/2022
10/2/2022
10/8/2022
10/9/2022
10/15/2022
10/16/2022
10/22/2022
10/23/2022
10/29/2022
10/30/2022
11/5/2022
11/6/2022
ABOUT THE CONTACT TO BE LISTED WITH THIS TEAM:
Contact Name:
Street Address:
City:
X
State:
X
X
Zip:
X
Primary Cell Phone:
X
Secondary Cell Phone
(Not Published)
:
X
E-Mail Address:
ABOUT THE PERSON SUBMITTING THIS ENTRY:
Submitted By:
Submitting E-Mail:
BY CLICKING THIS SUBMIT BUTTON, I CERTIFY THAT MY CLUB KNOWS ABOUT
AND HAS AUTHORIZED THIS TEAM.
Please note that any entry in the state cup field does not automatically enter your team into State Cup!
If you want a copy of this entry, please print it from your browser BEFORE hitting the submit button.
Please hit the submit button ONLY ONCE. It may take up to 30 seconds to process this information.
A copy of this information will be sent to the Submitting Email Address.