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Team Captain:________________ Phone:___________ Date of Request:_______

Location:___________________________ Season:__________________________

I am requesting to ADD the following player(s) to my team roster:

Name:

Name:

Address:

Address:

City:             State:  Zip

City:             State:  Zip

Phone:

Phone:

E-Mail:

E-Mail:

HCDA Membership ID#:

HCDA Membership ID#:

The following player(s) are being DROPPED from my team roster:

Name:

Name:

Address:

Address:

City:             State:  Zip

City:             State:  Zip

Phone:

Phone:

E-Mail:

E-Mail:

HCDA Membership ID#:

HCDA Membership ID#:

 

Approved By:______________________

Approved By:______________________

HCDA President or Vice President

HCDA Board Member

Date Approved:____________________

Date Approved:____________________

Instructions:

1.    This form is required for any changes to team rosters after a season roster has been submitted.

2.    This form MUST be correctly completed and signed before player(s) may participate as a member of the team he/she is joining. Otherwise the player(s) may only participate as a substitute.

3.    The approved form must be available for inspection by the opposing captain and will be mailed to the scorekeeper along with the score sheet for the match.

4.    Annual Dues and Season Fees, as applicable, for the added member(s) must accompany the Roster Change Request and score sheet.

5.    Failure to comply with proper Roster Change procedure may result in forfeiture of all games in which the illegal player participated and revocation of any personal points scored by the player.

6.    Players on a team roster must be officially dropped before they can be added to the roster of another team. Such a switch must be approved by the Board and requires a minimum of eight (8) calendar days.