Team Roster Form

Team Roster Form:
Team Roster Form can be be submitted online through the following form.
TERMS OF USE / PRIVACY STATEMENT:
1. BCA Membership requires the submission of each player's Legal Name, Address, City, State, and Zip Code to participate.
2. There is a fee due per player fee for membership into our santioning body(s). These fees are to be collected from each player NO LATER than the 3rd week of play to be eligible for Vegas competition.
3. E-mails and Phone Numbers are for league use only to distribute information leaguewide. This information includes, but is not limited to weekly paperwork, event announcements, etc.
4. Other than information required for BCA Membership, we will not share your information with any other individuals or businesses.
*** I have read and understand the above information:
- If you have any questions or need assistance filling out this form, please contact Jeremy through the Contact page.
Click Next to continue...

Team/Location Information:
- All teams must establish a primary location to play out of. There are no fees due to the league from the location. A maximum of 2 teams per table are allowed at a location.
Team Name:
Location:
Address:
City:
State:
Zip Code:
Phone:

Captain\'s Information:
Captain (1):
Address:
City:
State:
Zip code:
DOB:

MonthDayYear
E-mail:
Phone:
NOTE: North Shore 9-Ball requires Captains to provide an E-mail Address and Phone Number so the league can distribute weekly paperwork and communicate with Captains.
* It is the responsibility of the captain to maintain their team and to ensure that dues from all players on their roster for BCA Memberships. Also, the Captain must make sure paperwork and dues are submitted for each week of play in a timely mannor.

Player Information:
NOTE: Name, Address, City, State, and Zip Code are required for each player on the roster for BCA membership. Any player missing this information after Week 3 will be dropped from the roster and will not be eligible to compete until the information is corrected.
- A team must have a minimum of 4 players, including the captain. The maximum amount of players allowed on a team is 8.
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Name (2):
Address:
City:
Zip Code:
DOB:

MonthDayYear
E-mail:
Phone:
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Name (3):
Address:
City:
Zip Code:
DOB:

MonthDayYear
E-mail:
Phone:
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Name (4):
Address:
City:
Zip Code:
DOB:

MonthDayYear
E-mail:
Phone:
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Name (5):
Address:
City:
Zip Code:
DOB:

MonthDayYear
E-mail:
Phone:
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Name (6):
Address:
City:
Zip Code:
DOB:

MonthDayYear
E-mail:
Phone:
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Name (7):
Address:
City:
Zip Code:
DOB:

MonthDayYear
E-mail:
Phone:
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Name (8):
Address:
City:
Zip Code:
DOB:

MonthDayYear
E-mail:
Phone:
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Final Confirmation:
By clicking Submit, you have confirmed that your roster information is correct and are ready to submit your roster to North Shore 9-Ball.
Please confirm the text to submit.
Should be Empty:

Team Roster Form:

Team/Location Information:

Captain\'s Information:

Player Information:

Final Confirmation: