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CWPA Schedule Change Request Form

Date Request Made*

School Requesting Change*

Requesting Administrator *

E-mail*

Phone*

Home Team*

Visting Team*

Original Game Date*

Original Game Time*

Orginal Game Location*

Proposed Date*

Proposed Game Time*

Proposed Game Location*

Reason for Change*

Approved by Opposing Team*

Yes
No

OFFICE USE ONLY

Date Change Approved

Institutions Notified

Teams Notified

Yes
No

Date Change Posted on Website

Collegiate Water Polo Association