T.H.S.W.P.A. REGIONAL & STATE MEET

Eligibility FORM

Date______________________

Name of School____________________________________________

Address________________________________________________

City______________________________ Zip Code__________________

Phone (_______) _____________________

I HEREBY CERTIFY THAT THE FOLLOWING LISTED STUDENTS ARE ELIGIBILE ACCORDING TO THE RULES AS STATED IN THE UNIVERSITY INTERSCHOLASTIC LEAGUE CONSTITUTION AND CONTEST RULES:

1. ____________________________________

2. ____________________________________

3. ____________________________________

4. ____________________________________

5. ____________________________________

6. ____________________________________

7. ____________________________________

8. ____________________________________

9. ____________________________________

10.____________________________________

11.____________________________________

SUPERINTENDENT OR PRINCIPAL