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School District Information

Name of School District
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Street Address
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Address Line 2
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City
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Zip
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Anticipated Enrollment per Grades

Total Enrollment PreK
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Total Enrollment K-5th
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Total Enrollment 6th-8th
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Total Enrollment 9th-12th
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Is there an IHSA sanctioned Grade 9-12 interscholastic tackle football program?
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School Official

Name (First, Last)
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Title
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Phone
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Email Address
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CERTIFICATION and SIGNATURE

The undersigned certifies that the information is true, correct and complete to the best of his/her knowledge.

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Digital Signature

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