T.H.S.W.P.A.
	Regional and State Meet Eligibility Form
	Date_____________________________________________________________________________
	Name of School____________________________________________________________________
	School Address____________________________________________________________________
	City______________________________________________Zip Code________________________
	Phone___(_________)______________________________________________________________
	I hereby certify that the following list of students are eligible according to the rules as
	stated in the U.I.L. constitution and contest rules.
	1.________________________________________________________________________________
	2.________________________________________________________________________________
	3.________________________________________________________________________________
	4.________________________________________________________________________________
	5.________________________________________________________________________________
	6.________________________________________________________________________________
	7.________________________________________________________________________________
	8.________________________________________________________________________________
	9.________________________________________________________________________________
	10._______________________________________________________________________________
	11._______________________________________________________________________________
	12._______________________________________________________________________________
	Signature of Superintendent or Principal______________________________________________
	Signature of Coach_________________________________________________________________