Roster Form
Town______________________							Certified by_______________
Team Name:			Division:				Date:
Name	Street Address	Town	St.	Zip	Phone	School	DOB	Parents e-mail
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	Name and Address		St	Zip	Home Phone	Cell Phone		E-Mail address
Manager
Coach
Coach
Coach
Return to Bill White								bilww@aol.com
New Jersey Youth Baseball Office
350 Ramapo Valley Road Suite 18-291								201 814-0223 (H)
Oakland, New Jersey 07436								201 674-4533 (C )