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Home | Classification | Handbook | Forms | Member Schools | Calendar | Feedback | Sports | Schedules If you find an error in any of the state records, please contact Matthew Gillespie (mgillespie@tssaa.org or at 615-889-6740). To submit a record for the records section please complete the state record form.

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TSSAA STATE RECORD APPLICATION

Sport  
Category  
Record Applicant
(List Full Name of individual or school)		  
School (Street)  
(City, State, ZIP)  
Present Address (Street)  
(City, State, ZIP)  
School Address (Street)  
(City, State, ZIP)  
Home Phone   School Phone  
Age
(At Time of performance)		   Grade In School
(At Time of Performance)		  
Date of Performance  
Site of Performance  
Opponent  
Performance
(Give Details or attach newspaper article)



Applicant's Endorsement
I submit this application to the TSSAA State Records Book. All facts contained herein are duly certified. I realize any inaccuracies could disqualify the mark or performance from recognition. It is also understood that, although the TSSAA may approve this performance for inclusion in the TSSAA State Records, the passing of time and the continuing improvement in the sport may cause the performance to be deleted in the next edition of the State Records. Statistics and accomplishments will be recognized in all grades in which students are eligible (i.e. underclassmen "playing up". I also realize that only marks earned in grades 9-12 are considered for national recognition per National Federation guidelines. I grant the TSSAA the right to publicize this performance in any and all ways it wishes, including through print, broadcast, internet and television media.
The signature appearing below should be the: (1) individual involved if an individual mark is involved; or (2) the coach involved. Signature should also be dated.

Signature   Date  

Principal's Endorsement
 I hereby certify that applicant was, at the time of performance, eligible to represent ________________________ High School and that the performance was conducted as prescribed by the rules of the TSSAAand National Federation. Signature should also be dated.

Signature   Date  

Mail to: Matthew Gillespie, 3333 Lebanon Road, Hermitage, TN 37076