This form is for manager / coach use only

Please submit the following information below and we will review the request for changes. We will notify you if we need more information, as well as to confirm the outcome of the request. Also note that you may upload up to 3 screenshots / photos via your device to assist in your request.

Team Name

Age Group Please Select 6u 7u 8u 9u 10u 11u 12u 13u 14u 15u 16u 18u

Your Name

Your Phone Number

Tittle Please Select Manager Coach

Game Time Start time of game where error occurred

Opponent Team you were playing when error occurred

Game Location BLD Chino Hills BLD Jurupa Valley Washington Park La Puente Park Great Park Select Location of game where error occurred

Error Type

Pitching

Score

Please provide an explanation of error

Image Upload 1

Image Upload 2

Image Upload 3

Submit Request

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