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NEPSAY Team Form
Submit Soccer Teams/Rosters/Coach Contact Information
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Email
*
Your email
Select Your Soccer Club
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Choose
Carbondale
Dunmore/Green Ridge
Forest City
Honesdale
Lackawanna Trail
Lakeland
Mid Valley
Mountain View
North Pocono
Scranton
Tunkhannock
Valley View
Wallenpaupack
Wildcat
Age Division
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Choose
U8
U10
U12
U14
U17
Team Name
*
Your answer
Head Coach
*
Your answer
Head Coach Cell Phone & Email
*
Your answer
Does this head coach, coach multiple teams? If so, what other age division? Type in answer below
No
Other:
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Assistant Coach
Your answer
Assistant Coach Cell Phone & Email
Your answer
Roster - First & Last Names
Your answer
Field Name
*
Your answer
Field Address
*
Your answer
Field - Special Directions for incoming teams
Your answer
Send me a copy of my responses.
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