Team Registration                   
NEW JERSEY SOCCER ASSOCIATION
P.O. BOX 9765
TRENTON, NJ 08650
www.soccernjsa.com
OFFICIAL INFO
*LEAGUE OF AFFILATION :
*TEAM NAME :
Choose your main team
WEBSITE:
*GENDER : Male Female
*MEMBERSHIP :
MANAGER INFO
*MANAGER NAME :  
*ADDRESS:
*CITY:
*STATE:
*ZIP:
TEL: ( )- -
*CELL: ( )- -
FAX: ( )- -

COUNTY:
*Manager E-mail:
Manager Other E-mail:
ALTERNATE INFO
ALTERNATE CONTACT:  
ADDRESS:
CITY:
STATE:
ZIP:
HOME TEL: ( )--
*CELL: ()- -
FAX: ( )- -
*Alternate E-mail:
Alternate Other E-mail:
 

I agree to abide by all the Rules and Regulations of the New Jersey Soccer Association.
I understand that I will be held responsible for any and all financial obligations
incurred by the above named team toward any affiliated member of the NJSA.
   
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