LIWSA Online Intra-Club Player Permit Form

  • Coaches and players must verbally agree before using this form.
  • All submissions are subject to final approval from LIWSA.
  • An Intra-Club Permit allows an LIWSA registered player to play, on a game permit, for a higher divisional team within the same Club or Association. Each individual player may move up for a maximum of six (6) games within a playing season. A maximum of three (3) Intra-Club Permits may be used in any one game. Please familiarize yourself with the Rules & Regulations regarding the use of the Intra-Club Permit. Disciplinary action may be taken against those who fail to observe the regulations.

Requesting Information
Team Making Request:
Division of Team Making Request:
Name of Requesting Official:
Email Address of Requesting Official:
Note: An email will be sent to this address to verify the request.
Date of Match:
Request Notes:
Releasing Information
Name of Requested Player:
Division of Requested Player:
ID # of Requested Player:
Name of Releasing Official:
Email Address of Releasing Official:
Note: An email will be sent to this address to approve the request.
Approving Information
Approving Official: