Default Form

"I here by default and receive a loss for this contest. I understand that this default must be submitted before 3:00pm game/event day and if the event day is a Saturday, then this default must be before 3:00pm the Friday before."

ALL FIELDS BELOW MUST BE COMPLETE FOR THE FORM TO BE VALID.

Today's Date Today's Date / MM / DD YYYY
Current Time Current Time : HH MM AM/PM
Name Name First Last
E #
Email
Sport / Event
Team
Default Day Default Day / MM / DD YYYY
Default Time Default Time : HH MM AM/PM