Club/Team Information
Club Name:
Team Name:
CDYSL Division:
(ie: U16B1 [Red]- be specific if known
Tourney Division:
Boys
Girls
Level:
CDYSL div 1 or 2 =
"A"
,
CDYSL div 3,4,5 =
"B"
A
B
Your Age Group Choice:
(You can use this area -to play in a higher age group or leave a short note)
Coach Information
Coach's Name:
Address:
City:
State:
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code:
Email Address:
Contact Information:
Name:
Address:
City:
State:
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code:
Email Address :
Phone Number (Day):
Phone Number (Night):
Billing Information:
(If paying by credit card, this must match address your statements come to)
First Name:
Last Name:
Address:
City:
State:
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code:
Amount To Charge:
(on/before 3/25/23)
$325: U8-10
$350: U12
$400: U14
$500: U16 & Above
Payment Method:
Check
Credit Card (via Paypal)
Check Number
(if paying by check):
* If you paying with a check/MO (money order) and don't have one in your possession at this time, just type 999 in this space.
Please mail payment within a week of registering
and make sure a phone number is on your payment.
Make your check or money order payable to:
RUSC
Mail your payment to:
RUSC c/o Bob DiBella
2048 Careleon Rd - Schenectady, NY 12303
Thank you!