League Change Request
Please complete this form to request that your child participate in a different age division than the one determined by the sport's age-control date. Submission of this form is a request only and does not guarantee approval.
Parent/Guardian Information
Parent/Guardian Name
*
Relationship to Participant
*
Please Select
Mother
Father
Guardian
Other
Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Participant Information
Participant's Name
*
Date of Birth
*
-
Day
-
Month
Year
Date
Participant's Age
*
Sport/Event
*
Please Select
Baseball
Basketball
Football
Softball
Volleyball
Tennis
Track & Field
Other
Cheerleading
Current Age Division (Based on Age Control Date)
*
Requested Age Division
*
Parent/Guardian Acknowledgements
*
I acknowledge that I may only request placement in one age division higher than my child's assigned age, based on the sport's established age-control date.
I acknowledge that my child must meet the first-year age eligibility requirements for the requested age division..
I acknowledge and understand the inherent risks associated with participation in youth sports, including any additional risks that may result from my child participating in a league above their assigned age division.
By typing my full name below, I certify that I am the parent or legal guardian of the participant and that I have read and agree to all statements above.
Parent/Guardian Electronic Signature
*
First Name
Middle Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Parent Comments
Submit Request
Should be Empty: