BASKETBALL PLAYER DROP/ADD REQUEST FORM
INSTRUCTIONS:
1. All information must be filled out entirely. Failure to provide all information as required will result in denial of drop/add
request.
2. Player(s) to be dropped must be currently listed on the roster.
3. Beginning 11/3/2017, a $10 fee per player (adds only) must accompany the request for m. (If the player is denied, the
fee will be refunded).
4. Request must be submitted by close of business on Thursday for player to be eligible for Sunday game. No exceptions. Upon the approval of the player pick-up, player must come in to the Park office and sign the roster form before player will be allowed to play. All information must be presented at the Park Department office Monday through Friday, 8am to 4pm.
Teams will be permitted to pick up a player during the season up to and including 1/11/2018. No Adds will be allowed
after that date.
TODAY'S DATE:_________________________
TEAM NAME:_____________________________________________
DIVISION:_______________
MANAGER'S NAME:________________________________ PHONE #:_______________________
ADDRESS:________________________________ CY/ST/ZP:________________________________
PLAYER TO BE ADDED
1. Name:_____________________________________
Address:_________________________/__________
city
Phone #:___________________ Age:____________
PLAYER TO BE DROPPED
1. _____________________________
Reason:_________________________
Position:__________ Previous Experience:__________
___________________________________________
PLAYER TO BE ADDED
2. Name:_____________________________________
Address:_________________________/__________
city
Phone #:_______________________ Age:_______
PLAYER TO BE DROPPED
2. ____________________________
Reason:_________________________
Position:__________ Previous Experience:_________
_REQUEST DETERMINATION (For Office Use Only)
This Drop/Add Form has been:
_____________Approved
_____________Denied Reason: ______________________________________________________
As a manager, it is your responsibility to contact the above players to inform them of this decision. If you have any questions, please feel free to contact the Parks Office at (765) 456-7275.
Authorized Signature
City of Kokomo Parks & Recreation Department
__________________________________________