Vancouver Inline Players Annual * July 7 - 9, 2006

Team Roster(Please Print in BLOCK LETTERS)

Team Name

 

Division/Skill Level

 

Team Colour

 
** Please Identify Captain and Assistants **
 
Jersey #
Player's Name
Position
Birthdate DD/MM/YY
Member of NIHA/USA Inline?
Office Use
1
   
Goalie
     
2
           
3
           
4
           
5
           
6
           
7
           
8
           
9
           
10
           
11
           
12
           
13
           
14
           
15
           
** Please identify all goalies on this list **
Coach:__________________________________Assistant: ______________________________
Assistant: _______________________________Manager: _______________________________
Roster Submitted by [print name]
Signature verifying ALL information on this form
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