MICHIGAN YOUTH SOCCER LEAGUE

U-19/U-18/U-16/U-15/U-14/U-13/U-12/U-11/U-10/U-9

Affiliated with MSYSA and USSF

To:    Moe Geromette             Re:  Fall 2007 Schedule Change Request

                                                         [This  notice is required to maintain insurance coverage of league games.]

Person filling out this form (please print) ____________________________

Date: ______________________

          Age: ____________Division: ____________MYSL assigned Game# ____________(required entry!)

          Home Team: ____________________________________________

          Away Team: ____________________________________________

Scheduled for:

          Field:          ______________________________________________

          Date:          ______________________________________________

          Time:          ______________________________________________

Change to:

          Field:          _______________________________________________

          Date:          _______________________________________________

          Time:                   _______________________________________________

To process this request please: 
 

Enclosed the game change fee of $25.00  Check # ________  Dated __________________

and Mail this form and check to: MOE GEROMETTE, MYSL COMMISSIONER
                                                                   32354 Huber Lane, Fraser, MI 48026

and place your Signature here: _____________________________________________________

It is also suggested that you check here ____ that an email of this completed form has been sent to ..... myslcomm@comcast.net