Senior High Certificate Of Eligibility Form Piaa
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1PENNSYLVANIA INTERSCHOLASTIC ATHLETIC ASSOCIATION, INC. (PIAA)
Senior High School Certificate of Eligibility
To the Principal of ________________________________________________________________________ High School.
Complying with Article XVII, of the PIAA By‐Laws, I hereby certify that the following named students of:
_____________________________________ High School in the Contest of ____________________________________
(Name of Sport)
to be contested at ______________________________ beginning at _______a.m./p.m. on ____________ the _______
(Location or Site)
(Time)
(Day)
(Date)
day of _________________, ________. I also certify that the following named students have been informed by myself,
(Month)
(Year)
or my designee, concerning PIAA’s Season and Out‐of‐Season Rules and Regulations as they apply to the
aforementioned sport. Grades included in school filing this form _____________.
(Identify Grades)
NUMBER OF
PUBLIC SCHOOL DISTRICT
DATE OF
MINIMUM
AGE ON
SEASONS OF COMPETITION
DATE OF ENROLLMENT
SEMESTERS
WRESTLING
TH
LAST
IN THIS SPORT BEYOND 6
NAME OF STUDENT
IN WHICH
BIRTH
WEIGHT
FOR CURRENT SCHOOL
OCCURRING BEYOND
BIRTH‐
GRADE INCLUDING PRESENT
(MWW)
TH
8
GR INCLUDING
YEAR
STUDENT RESIDES
MO/DAY/YR
HEAD COACH
DAY
SEASON
CURRENT SEMESTER
MUST INITIAL
Signed__________________________________________, Principal___________________________________________High School
Note: Make all Senior High School Certificates of Eligibility in duplicate. Retain original for the senior high school’s files.
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Parent category: Education