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WNY CHRISTIAN BASKETBALL LEAGUE 2010 OFFICIAL ROSTER

Name
Last

Status
First

Rookie

Veteran

Birth
Date

Birth
Certificate
(Rookies)

Last Year

TEAM: ____________________________________________
Medical
Release
Form

Address
Street

Phone #
Town, ZIP

This roster of ____________________________________Church is valid, correct and conforms to all rules and regulations of the WNY Christian Basketball League.
Coach

(Print)__________________________ (Signature) _________________________ (Date) ________________

Pastor (Print)__________________________ (Signature) _________________________ (Date) ________________


NOTE: All players must be 18 or under as of 12/31/09 (i.e. birthday must be on or after 1/1/91)

Email address

Emergency
Contact

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