VARSITY WRESTLING INDIVIDUAL TOURNAMENT REQUEST FORM (No Tournaments on dual championship date)

(Separate forms must be completed for JV tournaments.)  Tournament approval and officials assignments will be made after completion of this request. 

HOST SCHOOL ____________________________________________________________

Is this tournament being sponsored by a group other than your school district? Yes___ No ___

If yes, please list name of group: _________________________________________________

PARTICIPATING SCHOOLS ____________________________________________________

__________________________________________________________________________
NOTE:  If there are any participating schools from out of state an NFHS interstate contest application form must also be submitted with this form to our office.  You must forward the NFHS applications to NYSPHSAA for further approval.

*** Please indicate start time of weigh-in/skin check: _______________***

BILLING PROCEDURE:  ____ Bill the host school      ____ Bill the participating schools
All fees for out of section schools will be billed to the host school.

TOURNAMENT DIRECTOR: ________________________________________________

PHONE school hours __________________ non school hours ___________________

ATHLETIC DIRECTOR SIGNATURE __________________________________________

Date:  _____________

**DUE DATE** OCT 15TH

RETURN TO: Section XI - fax: 346-3020  or 
mail: One Independence Hill, 2nd Floor, Farmingville, NY  11738