Club/Team Information
Club Name:  
Team Name:  
CDYSL Division: (ie: U16B1)  
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:  
Zip Code:  
Email Address:  

Contact Information:
Name:  
Address:  
City:  
State:  
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:  
Zip Code:  
     
Amount To Charge:
(On/Before 3/31/20)
 
Payment Method:  
Check Number (if paying by check):

* If you paying with a 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!