F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
SOUTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION
P.O. Box 1217, Pierre, SD 57501
ANNUAL FINE ARTS ELIGIBILITY REPORT
SCHOOL YEAR:
THIS REPORT MUST BE SENT TO THE EXECUTIVE DIRECTOR BY MAY 1
st
.
* A $50.00 late fee will be assessed for failure to meet the deadline.
Date of making this report . I hereby certify the following pupils, and no others, have represented
High School of (town) in Interscholastic Fine
Arts Activities during the first and/or second semesters of the school year and the data opposite their names is correct.
Total number of students listed on this annual report ___________________
Signed Date
Superintendent or Principal or Athletic/Activities Director
INCLUDE BOTH BOYS AND GIRLS
Do not list 7th and 8th graders unless they actually participate on a high school team.
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters
A detailed computerized list may be attached if it contains all of the pertinent information.
NOTE: Please fill out all columns and in detail in regard to each student. This report is also used to determine your
catastrophic insurance premium for the ensuing school year.
MAKE REPORT IN DUPLICATE. RETAIN ONE COPY FOR YOUR FILES. MUST BE TYPED.
F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters
F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters
F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters
F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters
F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters
F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters
F:\HANDBOOK\ARTS\GENERAL-FORMS\ELIG 1-Annual FA Eligibility.doc
FULL NAME
List names alphabetically
BIRTH
DATE
MM/DD/YY
Other Schools Where
Student has Competed
Academic
Classification of
Students during
School Year
7th, 8th, 9th,
10th, 11th, 12th
No. of Semesters in
Attendance Grades 9-12
including withdrawal
semesters
(must be consecutive)
No. of First
Semesters
No. of
Second
Semesters