ASA Player Appeal Form

General Player Information

1).

Player Name :

* Required

2),

EmailAddress :

* Required

3),

Player Date of Birth :

* Required

4).

Player Address :

* Required

5).

Player Address 2 :

6).

City :

* Required

7).

State :

Zip : * Required

8).

Phone No. (Day) :

* Required

9).

Phone No. (Evening) :

* Required

10).

Indicate your current rating on the Player List:

* Required

11).

Indicate your requested rating on the Player List:

12).

List the main team(s) that you played for last season :

* Required

13).

If you list more than one team above, list your primary team in 2009

14).

Primary team in 2010:

* Required

Provide Details as to the extent of your participation with the team that was responsible for your current rating as cited on the Player List

1).

Name of team which caused your current rating :

2).

Approximate number of tourneys that you played with this team :

3).

Approximate number of games that you played with this team:

4).

Did you play full time with this team ?

Yes No

4a).

If "No", provide approximate dates that you played with this team
From Date To Date

5).

Did you play in any State, Regional or National Tournaments with this team?

Yes No

5a)

If "Yes", which post-season tournaments did you play?

6).

Are you still currently playing with this team?

Yes No

6a).

If "No", what team(s) are you currently playing with or what team(s) do you plan to play with in the upcoming season?

Provide details about your role with the team that was responsible for your current rating as cited on the Player List

1).

Were you a full-time starter for this team?

Yes No

1a).

If "No", what percentage of the time would you say you got to start?

2).

What defensive positions did you play for this team?

3).

What part of the lineup did you hit for this team on offense the majority of the time that you played with them?
(i.e. top/middle/bottom part of order or specific lineup position.)

4).

Any approximate statistics that you may have on yourself while you were playing with this team during the past season can be helpful in considering your appeal.

Plate Appearances Batting Ave. On-base Pct. Home Runs

5).

Did you win any MVP or
All-Tournament awards with this team during the past season?

Yes No

5a).

If "Yes", please try to list your individual awards :

Player Statement (Optional) :

Please provide a brief statement and/or any other information that you feel should be known as to the reasons why you feel your current rating as listed on the Player List is inappropriate and should be downgraded.

Your statement is optional. However anything that you can say on your behalf that can help the board decide in your favor should be offered.