AGLA Hardship Player Transfer Request
Please make sure everything is completed neatly. By filling out this form, it is not guaranteed that you will be offered a
Hardship Transfer. All requests are reviewed by both high school club team coaches and the AGLA Executive Committee.
If approved, the request must have both coaches and the AGLA Presidents signatures to be valid.
Today’s Date: _________________
Athlete Name: ___________________________________
SCHOOL NAME: Attending Spring 2019: ________________________________________________
SCHOOL NAME: Attended Fall 2018: ___________________________________________________
Athlete’s Current Residence Address: __________________________________________________
Did Athlete play the 2018 Season? (circle one) Yes No
If so, for what high school club? ______________________________________________________
Does Athlete have a sibling playing the 2019 season? (circle one) Yes No
If so, for what high school club? ______________________________________________________
AGLA team player is required to play for: ________________________________________________
AGLA team player is requesting to play for: ______________________________________________
Requestor Name Relation to Athlete: ___________________________________________________
Requestor Phone H: ___________________
C: ________________ Email: _________________
Parent/Guardian of Player Address (if different from above): ________________________________
_____________________________________________________________________________________________________________
Please include all the following documentation below.
1. You must provide two (2) different pieces of mail from two (2) different sources to prove where your home is located.
Both documents must: • Show your name and your residence address • Be dated within 90 days • Be computer
generated (typed)
2. Please explain in an attached one-page letter to the executive committee why your hardship should be granted.
Please be detailed and to the point on your circumstances. Include proof of enrollment if your child is changing schools.
3. Please complete the following questions:
1. My son/daughter is seeking to avoid or nullify the effect of a penalty at his/her sending program that relates to
discipline or sports eligibility. Yes No
2. My son/daughter has been approached by athletic personnel or other individuals with the intent of encouraging their
transfer to program of application. Yes No
3. I, as the parent or legal guardian of the applicant, have been approached by athletic personnel or other individuals,
eg. Booster club members, with the intent of encouraging their transfer to program of application. Yes No
4. My son/daughter is following a coach to another program where the coach has transferred. Yes No
5. My son/daughter seeks to participate with teammates or coaches with whom he/she participated in non-school
competition during the preceding twelve months. Yes No
6. Have you ever expressed to the coach concerns regarding your player’s status on the team, coaching philosophy,
performance of coach on team? Yes No
By signing this request, you acknowledge that all information contained in this request is accurate and truthful.
Omissions and/or dishonesty could lead the athlete being deregistered for the current season.
Player Signature: _________________________________ Parent Signature: ____________________________
Date: __________________________________________
AGLA USE ONLY: APPROVED: YES NO
Current Coach Signature: ___________________________________
Hardship Coach Signature: __________________________________
League President Signature: _________________________________