Roster Form for 10 Man B Modified Pa State Championship

10 Man Modified (2014) -B- Eastern Pa State Championship

You are allowed up to 20 players including 3 "pickups". Pickups are not entered on this form. Go to PAASA.ORG for the pickup form. Pickups can only be from your classification or lower. After you complete the form (click the Submit button), you will be emailed the completed ASA Roster form, ready for signatures.

Team Information
Team Name*
City, State, League*
Roster Information*
Player Name Date of Birth Address

(click + to add an additional player). Do Not include Pickups. Go to www.paasa.org for pickup form.
Manager's Informaton
Name*
Manager's Contact Information*
Street Address City State ZIP Code
Phone (Cell preferred)*
Email*
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Roster Form for 10 Man B Modified Pa State Championship

10 Man Modified (2014) -B- Eastern Pa State Championship

Team Information

Manager's Informaton

Modified Softball Information

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Player Name	Date of Birth	Address