WRESTLING REPORT OF INDIVIDUAL TOURNAMENT

Please provide all information below and sign.  The form is to be sent to the Section XI office after the Tournament Director and the Athletic Director have verified the information.

sessions                                                            time
NUMBER OF MATS USED __________  FROM __________  TO _________
NUMBER OF MATS USED __________  FROM __________  TO _________
NUMBER OF MATS USED __________  FROM __________  TO _________

PARTICIPATING SCHOOLS: ______________________________________

_____________________________________________________________


SIGNATURES:

TOURNAMENT DIRECTOR _______________________________

ATHLETIC DIRECTOR __________________________________

WITHIN 3 DAYS RETURN TO SECTION XI      -      FAX   346-3020
                      OR MAIL     One Independence Hill, 2nd Floor Suite 201, Farmingville, NY  11738


2 COPIES ARE REQUIRED:  1 FOR TOURNAMENT DIRECTOR
                                             1 FOR HEAD OFFICIAL