Mid-Maryland Junior Basketball League

2011-12 Academic Eligibility Form

Student-Athletes participating in our League must have no F's and maintain a2.0 GPA to be eligible. Please place an "X" in the appropriate marking periodcolumn below for any student not attaining these standards and a "Y" in theinterim column when that student regains eligibility.

TEAM NAME:  ______________________________________ VARSITY or JAYVEE
(circle one)

Player's Name
(Last, First)		 Report Card
FCPS: 11/21/
MCPS: 11/10/
HCPS: 11/17/
CCPS: 11/17/
MSD: 10/29/
SJ: 11/18/ 		Interim
FCPS: 12/15/
MCPS: 12/04/
HCPS: 12/18/
CCPS: 12/11/
MSD: 12/02/
SJ: 01/12/ 		Report Card
FCPS: 02/06/
MCPS: 02/01/
HCPS: 01/31/
CCPS: 01/31/
MSD: 01/14/
SJ: 02/20/ 		Interim
FCPS: 03/02/
MCPS: 02/26/
HCPS: 02/27/
CCPS: 02/27/
MSD: 02/23/
 
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VERIFICATION by School Principal or Counselor
 NAME:  (please print)
 SIGNATURE:
 TITLE:

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