Junior Cup Game Change Form

ALL GAME CHANGES MUST BE SUBMITTED NO LATER THAN 3PM ON SATURDAY, MARCH 1

• The teams listed as HOME should host the match unless both teams agree otherwise
• All games must be played by May 11
• IYSA will send all referees for all games

By submitting this form I certify that my opponent has AGREED to the following game change. Submission of a game change form not agreed to by your opponent may result in a forfeit *

• My opponent has been contacted and in agreement to the following game change

Name of Person Submitting *

First

Last

Name of Team Submitting *

Home Team *

Away Team *

Game Number *

Age Group *2013 (12U)

Competition *Junior State Cup

Date & Time of Rescheduled Game *

Date

Time

All rescheduled games must be played by May 11

Complex or Field Name *

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Field Number or Letter *

If no field number or letter to identify the field pleae enter N/A

Submit