Confirmation of Participant Student Status .pdf

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Original filename: Confirmation of Participant Student Status.pdf
Author: Christopher Sousa

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Appendix AA

Confirmation of Participant Student Status
As a participant of the OPA College and University Powerlifting Meet all students are required to provide proof of full-time
student status as defined by their institution.
The following form must be completed by the student, and appropriate staff member (full-time Athletic Staff or
Admissions/Registration Staff)

Student’s Name:

Institution:

I agree to the release of information for the sole purpose of determining eligibility to participate.

Student’s Signature

Date

I confirm that this individual will be registered as a full time student (as defined by the
Registration Office) on Feb. 4th 2017

__________________________________
Designated Staff Name

Designated Staff Signature

_________________________________________________
Position

Date

Please scan and send your completed form to the following address:
opacollegeuniversitymeet@gmail.com
Please enter your name in the subject line
Forms must be received by Friday Dec. 2nd 2016 in order to be eligible to compete.


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