Team Roster Change in Status - Cal North
MEMBERSHIP PASS MUST ACCOMPANY THIS FORM California Youth Soccer Association, Inc. TEAM ROSTER CHANGE IN STATUS
20___/20___ SEASON MEMBER INFORMATION NAME: Cal North I.D. #:
PLAYER
STAFF
RELEASE REQUEST A release is requested when the player no longer wishes to play for the current team and does not currently plan on transferring to another team. The membership pass shall be turned in to the LEAGUE OF REGISTRATION before the release can be approved. TEAM NAME: TEAM NUMBER: _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ ACCEPTANCE: ACCEPTANCE:
Signature of Parent/Legal Guardian/Player age 18 or over
Date
Signature of Releasing Team Official
Date
TRANSFER REQUEST A transfer is requested when the player no longer wishes to play for the current team and is transferring to another team. The membership pass shall be turned in to the RELEASING LEAGUE OF REGISTRATION before the transfer can be approved. RELEASING TEAM INFORMATION LEAGUE:
CLUB:
TEAM NAME: TEAM NUMBER: _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ ACCEPTANCE: ACCEPTANCE:
Signature of Parent/Legal Guardian/Player age 18 or over
Date
Signature of Releasing Team Official
Date
ACCEPTING TEAM INFORMATION LEAGUE:
CLUB:
TEAM NAME: TEAM NUMBER: _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____
Please see PIM 10-1 for information on Transfers and Releases MEMBERSHIP PASS AND ANY APPLICABLE FEES MUST ACCOMPANY THIS FORM OR THERE WILL BE A DELAY IN PROCESSING THE REQUEST Form #1606 Rev. 11/2015
20___/20___ SEASON MEMBER INFORMATION NAME: Cal North I.D. #:
PLAYER
STAFF
RELEASE REQUEST A release is requested when the player no longer wishes to play for the current team and does not currently plan on transferring to another team. The membership pass shall be turned in to the LEAGUE OF REGISTRATION before the release can be approved. TEAM NAME: TEAM NUMBER: _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ ACCEPTANCE: ACCEPTANCE:
Signature of Parent/Legal Guardian/Player age 18 or over
Date
Signature of Releasing Team Official
Date
TRANSFER REQUEST A transfer is requested when the player no longer wishes to play for the current team and is transferring to another team. The membership pass shall be turned in to the RELEASING LEAGUE OF REGISTRATION before the transfer can be approved. RELEASING TEAM INFORMATION LEAGUE:
CLUB:
TEAM NAME: TEAM NUMBER: _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ ACCEPTANCE: ACCEPTANCE:
Signature of Parent/Legal Guardian/Player age 18 or over
Date
Signature of Releasing Team Official
Date
ACCEPTING TEAM INFORMATION LEAGUE:
CLUB:
TEAM NAME: TEAM NUMBER: _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____ - _____ _____ _____ _____ _____ _____
Please see PIM 10-1 for information on Transfers and Releases MEMBERSHIP PASS AND ANY APPLICABLE FEES MUST ACCOMPANY THIS FORM OR THERE WILL BE A DELAY IN PROCESSING THE REQUEST Form #1606 Rev. 11/2015
