Out of District Release - League Athletics

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2015 Season Out of District Playing Agreement The player(s) listed, reside within District _______ but wish to play their season in District ________ This agreement is only valid for the above listed knothole season. If needed, it must be renewed annually. 1 Name

Address

Zip

School Attended

Date of Birth

Reason for playing Out of District

Telephone Number

Parent/Guardian Signature

2 Name

Address

Zip

School Attended

Date of Birth

Reason for playing Out of District

Telephone Number

Parent/Guardian Signature

3 Name

Address

Zip

School Attended

Date of Birth

Reason for playing Out of District

Telephone Number

Parent/Guardian Signature

We, the undersigned Supervisors, concent to this agreement District

Supervisor Signature

Date

District

Supervisor Signature

Date