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Complete the fields below using the WYSA official roster of the requesting team.
Player 1 and Player 2 refer to the first two players listed on the roster.

Team Name:*
Team Number:*
Club Name:*  
League Name:*
Age Group:*  
Playing Year:*  
Player1 Birthday:* //
Player1 Home Phone:* ()--
Player2 Birthday:* //
Player2 Home Phone:* ()--
Tournament/Event:*
Tournament Website:*
Tournament Director:*
Tournament Address:*
City of Tournament:*
State/Province:*
Tournament Zip Code:*
Tournament Email:*
Tournament Phone:*
Dates of Tournament:*
Requestor Name:*
Requestor Role:*
Street Address:*
City:*
State:*
Zip:*
Phone:*
Email:*
Guest Player Name:*
Guest Player Birth Date:* //
Guest Player Pass Number:*
Guest Player's Home Team Name:*

Guest Player Form Rules and Regulations:
Form Policy Header The above coach or manager certifies that:

The information provided in this guest player permit is accurate.

The players listed on this form have US Youth Soccer player passes and are following all WYSA policies regarding tournament guest players.

This team is properly registered and rostered according to the rules and regulations of US Youth Soccer, Wisconsin Youth Soccer Association, and the league named above. This team complies with all of Wisconsin Youth Soccer Association team and player registration rules.

This team is not under suspension or in bad standing with any organization.