Tennessee Secondary School Athletic Association

ENTRY FOR REGIONAL GIRLS PENTATHLON

& BOYS DECATHLON

I certify that the students whose names appear below are eligible to represent

__________________ High School, in __________________, Tennessee, in the TSSAA Regional Pentathlon or Decathlon.

(Name -List last name first and list alphabetically)

Girls’ Pentathlon				Boy’s Decathlon
	Name	Grade		Name	Grade
1.			1.
2.			2.
3.			3.

I further certify that Coach _____________________ has been designated by me to serve as team coach and will accompany the contestants to the meet and will have official charge of their activities.

Signed: ___________________________ Date: ___________________

________________________________________________ High School

Mail a copy to the Regional Director, send a copy to the Executive Director, TSSAA, 3333 Lebanon Road, Hermitage, Tennessee 37076.

TR-03