Special Dispensation Request Form
Date
-
Month
-
Day
Year
Date
Submitting Personnel Information
Name
*
First Name
Last Name
Email
*
example@example.com
Position
*
District
*
Please Select
Durham Region Soccer Association
East Central Ontario Association
Eastern Ontario Soccer
Elgin Middlesex Soccer Association
Essex County Soccer Association
Greater North Soccer Association
Hamilton Soccer
Huronia District Soccer Association
Lambton Kent Soccer Association
Niagara Soccer Association
North York Soccer Association
Peel Halton Soccer Association
Scarborough Soccer Association
Soccer Northwest Ontario
Southeast Ontario Soccer Association
Southwest Soccer
Toronto Soccer Association
York Region Soccer Association
Board Member Approving of Special Dispensation
*
First Name
Last Name
Board Member Email
*
Email confirmation of request will be sent to approving board member
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Special Dispensation Details
Purpose of Special Dispensation
*
Existing Operational Procedure
*
Special Dispensation Being Requested
*
Rationale
*
Supporting Evidence
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