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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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YesNo

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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.

Please enter your full name

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Digital Signature

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I understand that checking this box constitutes a legal signature
confirming that I acknowledge and agree to the above Terms of Acceptance.

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Security Code ◄

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