City of Broadview Heights Parks and Recreation Department
9543 Broadview Rd. 440-838-4522 www.BHRec.org Samuel J. Alai, Mayor Paula Horner, Director
League Change Request Form
Activity ___________________________Season / Year __________________
Any parent requesting that their child play in a league other than the league designated by their age or grade must do the following:
1. Register and pay for the appropriate league as determined by the league age /grade cut off.
2. Complete this league change form in it’s entirety.
All properly completed forms will be reviewed by the Athletics Manager and / or Recreation Director and approved or denied prior to the assignment of teams.
Should your request be approved and a balance then due, payment must be made prior to the start of the season. Any approval that results in a reduced registration fee will be refunded in the form of a credit to your account with the recreation department.
If the request is denied, a refund request will be accepted providing the registration took place prior to the registration deadline.
Birthday ____/____/____ Age (as of cut off date) ___________ Current or upcoming grade ____________
League Assigned _____________________________ League Requested _____________________________
League Played in Last Year / Coach _____________________________________________________________
Parent _____________________________ Phone ______________________ email _______________________
Note: Carpooling, convenience, to play with siblings, to play with neighborhood kids or to play for a particular coach are NOT valid reasons for a league change.
Reason for League Change Request: _____________________________________________________________
Parent / Guardian Signature _____________________________________ Date _________________________
Request: Accepted Denied
Athletics Manager ________________ Recreation Director ________________ Date ________