| General Manager's Phone Number: | Days: | Nights: |
| Team Status (Choose One): | New | Returning | New/Experienced |
| Area Team Wants To Play: | Albany | Schenectady | Troy |
| Desired Division: | "A" Div. | "B" Div. | "C" Div. |
| Desired Times (circle two): | 9:00am | 10:30am | 12:00pm | 1:30pm | 3:00pm |
| Color of Team Jerseys: | Primary Color: | Color of Numbers: |
| Color of Flagbelt: (Choose One): | Black | Blue | White | Red | Orange | Green | Yellow | Gray (New) |