Mid-Maryland Junior Basketball League

2005-06 Academic Eligibility Form

Student-Athletes participating in our League must have no F's and maintain a 2.0 GPA to be eligible. Please place an "X" in the appropriate marking period column below for any student not attaining these standards and a "Y" in the interim column when that student regains eligibility.

TEAM NAME:  ______________________________________

VARSITY or JAYVEE (circle one)

Player's Name (Last, First)	Report Card FCPS: 11/19/03 MCPS: 11/14/03 HCPS: 11/13/03 MSD: 11/01/03 SJ: 11/21/03	Interim FCPS: 12/19/03 MCPS: 12/14/03 HCPS: 12/13/03 MSD: 12/04/03 SJ: 01/15/04	Report Card FCPS: 02/11/04 MCPS: 02/07/04 HCPS: 01/31/04 MSD: 01/17/04 SJ: 02/27/04	Interim FCPS: 03/12/04 MCPS: 03/08/04 HCPS: 03/01/04 MSD: 02/26/04
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VERIFICATION by School Principal or Counselor

NAME:  (please print)

SIGNATURE:

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