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CITY OF LOMPOC
RECREATION DIVISION
125 WEST WALNUT AVENUE
LOMPOC, CA 93436
SPORTS ROSTER / REGISTRATION FORM
Team Name: Sport: Type: Mens Coed Womens
Manager Name:
Rank from 1 - 3 night team prefers to play (No night guaranteed)
Address: SU M T W TH F SU ___
City: Zip: Min/Max = Softball 12/20 Soccer 7/15 Basketball 7/10
Home Phone Work Phone
E-Mail Address_____________________________________ Season (Circle): Winter/Spring Summer Fall Year: ___
Maximum players for Men’s Softball is 16…..Maximum for Coed Softball is 20
Players Name Home Phone Work Phone Street Address City Date of Birth
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Managers Signature: Date:
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