Bona Fide Change Of Residence Form

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BONA FIDE CHANGE OF RESIDENCE
Article 12, Section 9-2, Transfer As a Result of a Move of Parents states:
A student who transfers from one school’s attendance area to another’s with a bona fide change of residence of the par-
ents, legal guardians (or other persons with whom the student has resided for a period of time to be determined by the
Association) shall be eligible for interscholastic competition at the new school as soon as properly certified.
Definition of a Bona Fide Change in Residence — For the purposes of this section, a bona fide change of residence
means, “the moving of the permanent residence of the entire family of the student and his/her parents or guardians (or
other person with whom the student has resided for a period of time approved by the Association) from one school’s atten-
dance area into another school’s attendance area prior to a change in enrollment of the student.” Schools must verify that
a bona fide change of residence has occurred and must report this to the Association on the Bona Fide Change of Residence
form, before the student is allowed to participate.
To be completed by principal of the receiving school
Receiving School
Sending School
Transferring Student
Gender
Date of birth
Age
Date enrolled in current school
M
F
_____/_____/_____
Credits earned to date in grades 9-12
Sports/activities student wants to compete in
Has student and his/her family moved its residence from another schools
Enrollment dates in previous school
attendance area into your schools attendance area?
No
Yes — Explain:
____/____/____
to
____/____/____
Previous Permanent Home Address:
New Permanent Home Address:
(ASAA General Policy #4) Check the documents used to prove change of residence and submit copies to ASAA.
For Transfer purposes, at least two of the following three are required as proof of residence change:
Alaska Driver’s License_______Voter Registration Card________Permanent Fund Application___________
Certification of principal of receiving school
The above information is correct, to the best of my knowledge.
Principal’s Signature: ______________________________________________________
Date: _________________
Phone: ____________________
Fax: ____________________
Email: ___________________________________
Parent / Guardian Verification
I have read and understand the Definition of Bona Fide Change of Residence as stated above. I further verify that my child’s
transfer has been as a result of a bona fide change of residence into the receiving schools’s attendance area. I further under-
stand that providing false information may cause my child to be declared ineligible for interschoalstic competiton for a peri-
od of ninety (90) school days, including state approved in-services, and the school also may be penalized.
Parent/Guardian Name (please print)
Parent/Guardian Signature
Date
______/______/______
FOR OFFICE USE ONLY
Executive Director's Signature
Executive Director's Decision
Date
APPROVED
DISAPPROVED
______/______/______
193
Forms
2015-2016 • Alaska School Activities Association • Handbook

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