Application For Sanction Of Bordering States Athletic Event

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APPLICATION FOR SANCTION OF BORDERING STATES ATHLETIC EVENT
Request for Sanction: Only a member school of an NFHS member state association, or a school approved by such an
association, or such an association itself, is eligible to request sanctioning through the NFHS and the MPSSAA Sanctioning
Programs. Any event seeking NFHS or MPSSAA sanction must be sponsored by a member high school, approved high
school, or state association.
SECTION 1
DESCRIPTION OF EVENT (To be completed by host school)
Application Date: __________________________________
• Sport _________________________________
Girls
Boys
• Date of Event: _____________ • Time of Event ________________
• Sponsor(s): _____________________________________________________________________________________________________________
Member high school/other sponsoring organization
Street
City
State
Zip
• Name of Event (if applicable) _______________________________________________________________________________________________
• Schools invited from the following states: ______________________________________________________________________________________
______________________________________________________________________________________________________________________
All sanction requests submitted to the MPSSAA office MUST be accompanied by the names, addresses, and contact
information of all schools that MAY be invited to the event. Effective July 19, 2005, invitations may not be issued until
all schools on the submitted list are verified as members or approved schools by their own state association
• Number of participating schools: ________________
(LIST ALL SCHOOLS & ADDRESSES ON BACK SIDE OF THIS APPLICATION)
• Entry fee:
Yes Amount: ______
No
• Admission Fee Charged:
Yes
No
• Event will be managed by __________________________________________________________________________________________________
State association approved school or other sponsor
City
State
Zip
• Name of Manager/Title: ____________________________________________ Phone: ______________ E-mail: ____________________________
Description of Awards and Other Compensations & Maximum Retail Value
(ribbons/trophies/tee-shirts/practice uniform/waiver of entry fee/travel expenses, etc.) to:
Individual Student Athlete Participants:
Teams:
Coach:
Executed by: _____________________________________________________________________ Phone: _____________ Date: _______________
Principal of host school (signature & printed name)
Execution of this form constitutes an agreement by the principal of the host school to assume oversight responsibility for the event.
After completing Section 1, send form to MPSSAA
SECTION 2
ACTION BY STATE ASSOCIATION OF HOST SCHOOL
School membership:
State Association Member School
School Approved by State Association
Non-Member School
Action:
Sanction Event
Do Not Sanction Event
No Jurisdiction
If “No Jurisdiction”, explain why: _______________________________________________________________________________________________
________________________________________________________________________________________________________________________
Limitations/Other Comments: _________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Signature of State Executive: ____________________________________ Phone: _____________ Date: ______________ State _______________
If event sanctioned, send copies to each state association named in application.
If application is not sanctioned, return to applicant.
SECTION 3
ACTION BY STATE ASSOCIATION OF INVITED SCHOOL
School membership:
State Association Member School
School Approved by State Association
Non-Member School
(If more than one school is invited, please indicate member status of each school next to the listing on back side of this application.)
Action:
Sanction Event
Do Not Sanction Event
No Jurisdiction
If “No Jurisdiction”, explain why: _______________________________________________________________________________________________
________________________________________________________________________________________________________________________
Limitations/Other Comments: _________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Signature of State Executive: ____________________________________ Phone: _____________ Date: ______________ State _______________
Forward a copy to host state association.

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