BROKEN ARROW SOCCER CLUB
RECREATIONAL PLAY UP REQUEST
I request that youth player ______________________________ birthdate___________, be permitted to play up
from the under ________ age division to the under ________ age Division for the 20____ - 20_____ seasonal
year. Please be aware that players are only allowed to play up 1 or 2 age divisions at the registrar’s discretion.
If you are requesting to play up and if applicable you must first receive permission from the coach of the team
you want to play up for. The coach may send an email to: [email protected] stating he/she grants permission
for the younger player to play up on his/her team or the coach may sign permission at the bottom of this form.
Please state your reason for playing up:
I understand that playing up refers to playing in an older age division than the players age is normally assigned.
I further understand that this player shall be committed to that age division for the entire season.
__________________________________________________
Signature of parent or legal guardian
__________________________________________________
Date
__________________________________________________
Signature of coach acknowledging play up on his/her team
__________________________________________________
Date
BASC APPROVAL
Signature______________________________________________ Date____________________
This form must be presented at time of BASC registration. Scan/Email to: [email protected]
or fax to: 918-516-0664 or drop by BASC office: 1001 S. Main St, Broken Arrow.
Revised 6/2015