Game Change Request Form

CONFERENCE GAME CHANGE REQUEST
 
This form must be completed and signed by the requesting institution’s Athletic Director.
 
Requesting Institution:_____________________________________________________
 
Sport:__________________________________________________________________
 
Current Date of Scheduled Contest (include Year):_______________________________
 
Opponent:_______________________________________________________________
 
Proposed Changed Date:___________________________________________________
Reason for Change:_______________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
 
 
By signing below you verify that you request this change for your institution and you understand that the conference commissioner must approve any change to conference schedule for it to be effective.
 
 
_________________________________________  ________________________
Signature of Requesting Athletic Director                               Date
 
Please email to jvanryn@empire8.com