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Complete the fields below using the Cal North 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:*
League/Club Name:*  
Affiliated League:*
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 First Name:*
Requestor Last 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:
The above coach or manager certifies that:

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

This team is properly registered and rostered according to the rules and regulations of US Youth Soccer, California Youth Soccer Association - Cal North, team and player registration rules.

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

Any failure to provide true and accurate information and compliance with requested guidelines will invalidate this certificate and team officials may be held personally liable.

I/We (above indicated) hereby acknowledge that I/we have reviewed this form and caused it to be electronically executed with the intent to be bound to the terms contained herein.