New Student - Transfer Information Form Page 2
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2VERIFICATION OF ATHLETIC RELATED TRANSFER REGULATION FOR STUDENTS SITTING OUT
WHO DO NOT MEET AN EXCEPTION TO THE PERIOD OF INELIGIBILITY (Reg. I, Section 9 [F])
“Links to open gyms, former coach/personal trainer, school or non-school sports & summer teams”
16.
List the high school sports the student participated in (game/meet or scrimmage) since first enrolling in
th
the 9
grade at the previous school
________________
____________________ ___________________
17.
List the sports in which the student desires to participate in during the next 12 months at new school:
________________
________________
_____________________
___________________
Today’s Date:
In the past 12 months?
18.
YES
NO
Prior to attending classes at the new school, the student has attended an open gym at our
high school.
19.
YES
NO
The student has competed or practiced in a non-school sport activity that was coached, coor-
dinated or directed by a coach, parent (former or current) or school administrator of our high
school including in any summer activities or non-school sports such as AAU basketball, 7
on 7 football, indoor soccer, etc. If yes, indicate the school connection and activity:
________________________________________________________________________
20.
YES
NO
The student has had involvement with any member of our school’s coaching staff (current or
incoming) who provided individual or team instruction in sports or as a conditioner, per-
sonal trainer or coach whether paid or volunteer. If yes, indicate the staff member and the
activity:
_______________________________________________________________________
21.
YES
NO While at the former high school the student was coached by any member of our high
school’s coaching staff (current or incoming). If yes, indicate the name of the coach and
sport:
________________________________________________________________________
RECOMMENDED VERIFICATION & COMMUNICATION BETWEEN SCHOOLS
By my signature below I state that the above is true and accurate. I also understand that contests the student
participates in may be forfeited to opponents if the information submitted is not accurate:
_________________________
___________
_________________________
__________
Student
Date
Parent
Date
________________________
_______________
_________________
___________________
New School Athletic Director
Date
School
email or fax
To Former School Athletic Director: Please sign and return to AD at the student’s new school
Exchange this form between athletic directors for students who wish to play the same sport as played
previously. The former school athletic director indicates that to the best of their knowledge the above
is true and accurate:
____________________________
_________
Form Returned to New School: _____________
Former School Athletic Director
Date
Date
Notes if former AD declines to sign:
________________________________________________________________________________________
________________________________________________________________________________________
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