Individual Varsity Sport Eligibility Form Page 3

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City and School Name
Sport
Print or type (All forms must be legible. Be sure to spell names correctly.):
*Indicates Waiver
(Fill in for
Date of enrollment
all Students)
this year
(Fill in for
Date of first
(only fill in if
Name, street address, city of parent or court
§
all Students)
enrollment in
student enrolls
appointed guardian (fill in only for students
Name of students - arrange alphabetically
Birth date
9th grade
after the 6th
who have not been in your ISD or school
(last name, first--Do not use initials.)
(month/day/year)
(month/year)
class day).
attendance zone for at least one year.)
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Be sure the following are checked before submitting. Check List:
--Both signatures are secured
--Columns 1, 2, and 3 are complete for all students
--Column 2 is no earlier than 9-2-95 for the 2014-15 school year.
--Column 3 is no earlier than 8-2011 for the 2014-15 school year.
--Sport is checked
--Do Not Send Eligibility Forms to the UIL Office. UIL no longer requires schools to submit eligibility forms to the UIL Office, only to DEC chair.

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