Roster Adjustment Form

Date:

(PlayerNon Player) Name:
Signature:
Paid:	No Charge Check Cash. Amount paid:

Add Delete Replacement

Team Name

Manager/Coach's Signature

If a replacement, complete the following.

Replacing

Signature

Reason for replacement:

Due to an injury Person moved Did not play past the second week of the season

From Team

To Team

Team Name

Manager/Coach's Signature

Division Vote

Open Division	A-Division B-Division C-Division D-Division
Women's Division	A-Division B-Division C-Division D-Division
Manager/Coach's Signature	Yes/No,Abstain/NotPresent	Manager/Coach's Signature	Yes/No,Abstain/NotPresent
1	Y N A N	8	Y N A N
2	Y N A N	9	Y N A N
3	Y N A N	10	Y N A N
4	Y N A N	11	Y N A N
5	Y N A N	12	Y N A N
6	Y N A N	13	Y N A N
7	Y N A N	14	Y N A N

Board Member's Signature:

Date:

Page updated:

04 April 2007