NCISAA Certification of Eligibility and Official Roster  
 

All students enrolled in grades 7 - 12 as of September 1 must be listed. 

Students may be added after September 1 for the fall tournaments no later than September 25, for the winter tournaments no later than January 19, and for the spring tournaments no later than April 12.  These additions MUST be made in writing to the NCISAA office.

Name of School__________________________

We certify that the students whose names appear above are eligible to participate in NCISAA athletics according to all NCISAA Rules and Regulations concerning eligibility.  We UNDERSTAND THAT NO ONE IS TO BE LISTED WHO IS NOT ELIGIBLE IN EVERY WAY.

Date___________________________                Signed___________________________________________
                                                        Head of School

              Signed___________________________________________
                                                                                                                    Director of Athletics

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