FORM A                                  GEORGIA HIGH SCHOOL ASSOCIATION                    

NON-TRANSFER                                                          P.O. Box 271

STUDENTS                                                           Thomaston, GA  30286-0004

(2002-2003)                                                  706-647-7473          FAX:  706-647-2638

SCHOOL  ________________________________________                       CITY  _______________________________________

ACTIVITY                    ______              SCHOOL YEAR                       REGION AND CLASSIFICATION _____________  

INSTRUCTIONS:  THIS FORM MUST BE TYPED.  DO NOT LIST TRANSFER STUDENTS ON THIS FORM – USE FORM B FOR TRANSFER STUDENTS.  A separate report may be made for each activity.  Send the original to the GHSA at the above address.  The original will be returned to you showing the eligibility status of each student on the list.

I certify that the information for the student(s) listed on this form has been taken from the student’s permanent school records and meets

all eligibility requirements for interscholastic competition under the rules and regulations as stated in the current edition of the GHSA Constitution and By-Laws.  I understand that incorrect information will severely penalize my school and students.

SIGNED ___________________________________________________            ___________________________________________

                (Superintendent or Principal or Assistant Principal-No Stamps)            (Report Preparer)

DATE  ___________  THIS REPORT MUST BE FILED AT LEAST TWENTY (20) DAYS PRIOR TO THE DATE FOR FIRST CONTEST.