Request to Change Roster Form

All information filled in below should match the information as shown on USSSA.com. ONLY the coach, as listed on USSSA, may complete this request form.















PLAYER INFORMATION

All information input below, except email address, must match player's birth certificate (or other legal identifying document). If the information on the USSSA site is different than the birth certificate, please show that information in the notes section.

PLAYER'S FIRST NAME: PLAYER'S LAST NAME:
PLAYER'S DOB: (mm/dd/yy) PLAYER'S/PARENT'S EMAIL:
ACTION NEEDED:    DROP FROM ROSTER    ADD TO ROSTER    CORRECT EXISTING INFO (SEE BELOW)

PLAYER'S FIRST NAME: PLAYER'S LAST NAME:
PLAYER'S DOB: (mm/dd/yy) PLAYER'S/PARENT'S EMAIL:
ACTION NEEDED:    DROP FROM ROSTER    ADD TO ROSTER    CORRECT EXISTING INFO (SEE BELOW)

PLAYER'S FIRST NAME: PLAYER'S LAST NAME:
PLAYER'S DOB: (mm/dd/yy) PLAYER'S/PARENT'S EMAIL:
ACTION NEEDED:    DROP FROM ROSTER    ADD TO ROSTER    CORRECT EXISTING INFO (SEE BELOW)

PLAYER'S FIRST NAME: PLAYER'S LAST NAME:
PLAYER'S DOB: (mm/dd/yy) PLAYER'S/PARENT'S EMAIL:
ACTION NEEDED:    DROP FROM ROSTER    ADD TO ROSTER    CORRECT EXISTING INFO (SEE BELOW)

PLAYER'S FIRST NAME: PLAYER'S LAST NAME:
PLAYER'S DOB: (mm/dd/yy) PLAYER'S/PARENT'S EMAIL:
ACTION NEEDED:    DROP FROM ROSTER    ADD TO ROSTER    CORRECT EXISTING INFO (SEE BELOW)




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