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ASA Certified Equipment
ASA Rule Changes
ASA Code Changes
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Coaches Name*
Address*
Address*
City*
State*
Zip*
Email*
Team Name*
Phone*
Cell Phone
JO Youth Division
10U
12U
14U
16U
18U
Questions/Comments
* Denotes a required field
18U Gold
If you are a tournament team and have purchased insurance with another insurance carrier and you
want to ONLY register your team with VA ASA in order to play in Non Championship tournaments.
Your registration fee is $25.00 per team; your registration will not be completed and your team will not
be allowed to compete until we have received your team registration fee. Please fill out the following
form.
Your registration will not be completed and your team will not be allowed to compete until we
have received your team registration fee!
Please forward your check payable to (Mike Musgrove – ASA) at 1112 Coolbrook Road Bedford,
Virginia 24523