EYSA Special Request
All special requests must be made by the initial registration deadline to be considered. Accommodations will be made based on age group and number of players/coaches. Requests are not guaranteed.  
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Your Name *
Email *
Address
Phone number *
Name of participant *
Participant's birthdate *
YYYY
/
MM
/
DD
Type of special request *
Please provide the participant's current assigned age division. *
If the participant has played in the EYSA soccer league before, in what division did they last participate?
If the participant has played in the EYSA soccer league before, who was their coach last season? *
If this is a move up request, please also provide the division into which you are requesting they be moved.
Please state why you are making this special request, how it will benefit the participant, and if this is something other than a move up request what action item you would like to see as a result. *
If this request is granted would you need to purchase a uniform for the 8U-14U division? (The need for a new uniform purchase could be either because this is the first time the participant is in this division range or because a previous uniform no longer fits) *
Any additional details you feel we should be aware of that support this request?
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