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 :
*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.

   
Note: Some webbrowsers can produce a message when using PayPal "Sorry - Your last action could not be completed". In this case, please clean your cache/cookies and try again.