| Checked In | Jersey # | PASS# | Issued | PLAYER NAME | BIRTHDATE | 35+ | 30-34 |
| John Shikashio | 01/29/63 | X | |||||
| Donald
Sarabia |
3/3/71 | X | |||||
| Edmon Khangaldian | 5/17/69 | X | |||||
| Chris Towner | 5/14/69 | X | |||||
| Esmaeil Nemati | 12/7/53 | X | |||||
| Jorge Luna | 8/24/69 | X | |||||
| Saeed Ghelichkhani | 5/10/61 | X | |||||
| Faramarz Farsheedi | 3/3/55 | X | |||||
| Devereaux Rendler | 2/6/59 | X | |||||
| Tony Gaspar | 2/20/69 | X | |||||
| Hyon Duk Kim | 1/22/72 | X | |||||
| Mehrdad Rahmani | 4/16/70 | X | |||||
| Greg Quan | 1/13/69 | X | |||||
| Edgar Alfaro | 2/10/70 | X | |||||
| Samir Lutvaliyev | 9/12/67 | X | |||||
| Eric Denley | 10/21/76 | X | |||||
| Joe Farhad | 11/10/72 | X | |||||
| Horacio Matta | 6/5/67 | X | |||||
| Andy Eyer | 11/19/73 | X | |||||
| Freddy Ferragut | 9/2/74 | X | |||||
| Payman Farzaneh | 7/13/73 | X | |||||
| Armaghan Onsori | 6/16/66 | X | |||||
| SIGNED (Manager): | Alfonse Leal | DATE: | |||||
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Each Team member must have a player pass and be on the roster to play
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Match Report
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| Date: | Opponent: | Result: | |
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| Referee: | |||
| Comments: | |||