Player Release And/Or Transfer Form

              DATE: ____________________
 Please be advised that the player listed below has been released on this date  from the team listed below.  
PLAYER NAME:
PLAYER REGISTRATION #
DIVISION:
TEAM NAME:
COACH/MANAGER: (Print)
COACH/MANAGER: (Signature) _____________________________
Fee Paid: $ 4.00: _____________________________

Please be advised that the above player is now playing for the following team.

TEAM NAME:
DIVISION:
COACH/MANAGER: (Print) _____________________________
COACH/MANAGER: (Signature) _____________________________
Fee Paid: $6.00: _____________________________

                         ---------------------------------For FSSA use only----------------------------------------

DATE RECEIVED: ______________________________
BY: ______________________________

COMMENTS/NOTES:_____________________________________________________________________________

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