2026 Fall Hardship Request Form

Player First Name*
Player Last Name*
Player Birth Date*

MonthDayYear
Date
Player Registration Number (Reference Registration Email)*
Player Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Request to be moved from:
Currently Registered 2026 Fall Team Name*
Currently Registered 2026 Fall Team Direction*
Currently Registered 2026 Fall Team Division (Age Group)*
Request to be moved to:
Requested 2026 Fall Team Name*
Requested 2026 Fall Team Direction*
Requested 2026 Fall Team Division (Age Group)*
Parent First Name*
Parent Last Name*
Parent Cellphone*
Please enter a valid phone number.
Parent Email*
example@example.com
Please Give a Detailed Explanation of Your Hardship*
Hardship Requests are NOT Guaranteed*
Parent Signature*

Clear
Date*

MonthDayYear
Date
Official Use Only Below
Date Registered

MonthDayYear
Date
Office Notes on Status
Committee Member Name
Date Approved or Denied

MonthDayYear
Date
Should be Empty: