DA Game Change Request Form.xlsx - Michigan State Youth Soccer

MSYSA Director's Academy
GAME CHANGE REQUEST FORM
$100 per Game Change Request
Please fill out this form and return with payment (if applicable) AND a written record of both teams agreeing to the change to [email protected] or MSYSA, Attn: Sarah Shiguango, 9401 General Dr. Suite 120, Plymouth, MI 48170. The $100 fee applies when the request is made 7-­‐29 days before the originally scheduled game. There is no fee if the request is received 30 ore more days before the originally scheduled game. No schedule changes will be allowed less than 7 days before the originally scheduled game, unless due to weather or field closures. If the reschedule request is due to inclement weather or field closures, the reschedule fee does not apply. However, all other DA Rules shall apply.
Club
Team Name
Team Age
Gender
Game #
Opponent
ORIGINAL GAME DETAILS
NEW GAME DETAILS
Date
Date
Time
Time
Field
Field
Name of Person Submitting This Request
Date
For office use only:
Date Received
Payment Method