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Game Default Notice Form
This form is to notify Southwest Soccer of a game default. Defaults within 24-72 hours of game time are subject to a $200 fine. Defaults under 24 hours are subject to a $250 fine.
**This form is to be used for defaults of 72 hours or less only
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* Indicates required question
Email
*
Your email
Game #
*
Your answer
Game Date
*
MM
/
DD
/
YYYY
Division
*
Your answer
Defaulting Team (please state if you are the home or away team)
*
Your answer
Opposing Team
*
Your answer
Please state the reason for the default
*
Your answer
I confirm that I have or will be notifying the opposing team and the ref scheduler of this default.
*
Yes
Required
A copy of your responses will be emailed to the address you provided.
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