ILLINOIS NSA
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 Official 2012 NSA Player Release Form
A player may be released if his manager so desires, ONE TIME per year.  A Player
may be released from a qualified or unqualified team, but can only be picked up
by an unqualified team of the same or higher classification.  This form MUST
be in the State Office and  APPROVED, prior to player participating with the new team.

Permission granted to photocopy this page.
This form is not valid unless it is completely filled out, including the team sanction numbers.

NOTE: A released player DOES NOT open a spot on the roster.  A released player is NOT deleted from roster.
View the 2012 NSA rule book for complete listing of rules that apply to rosters and released players.

ADULT Release Deadline is SEPTEMBER 1, 2012 or State Tournament
YOUTH Release Deadline is JULY 5, 2012
or State Tournament
(PLEASE PRINT - NOT VALID IF NOT LEGIBLE)

Playerís Name: ______________________________________ Phone: (         )________________

        Team Released FROM: _____________________________________________________________

        Division: ____________________ Class:____________ Sanction # _________________________

         Managerís Name: ____________________________________ Phone: (        ) ________________

        Date of Release: ________/________/________

        Signature of Releasing Manager: ____________________________________________________
       

        Picked up by (Team Name): _________________________________________________________

        Division: ____________________ Class:_____________ Sanction # __________________________

         Managerís Name: ____________________________________ Phone: (           ) ________________

        New Managerís Signature: _________________________________________________________

        Signature of Released Player: ______________________________________________________

        If Player is a Minor- Parent/Legal Guardian Signature: ________________________________

        Date of Signature: ________/________/________

           Signature of NSA Director: _____________________________________ Date: _____/_____/_____
                       
NOT VALID WITHOUT NSA DIRECTORíS SIGNATURE - DIRECTOR FORWARD TO STATE OFFICE