Wake County Public School System

APPEAL FOR ATHLETIC PARTICIPATION

FOR TRANSFERRED/REASSIGNED STUDENTS

 

DIRECTIONS:         (TO BE COMPLETED BY PARENT/GUARDIAN)

 

Student’s Name:       ________________________________________________________________________________________

                                                Last                                         First                                         Middle

 

Students ID#:           _________________________________Grade_____________School Year___________________________

 

Legal Address of Parent/Guardian:

_________________________________________________________________________________________________________

            home no.                 street       apt.                          city                          state                         zip

 

Residence                                                                                 Business

Telephone:              (        )                                                     Telephone:              (        )                                                    

 

Base High School:    _______________________________________________________________________________

 

Reassigned High School:           _______________________________________________________________________________

 

LIST SPECIFIC REASONS FOR REQUESTING APPEAL (ATTACH A COPY OF THE STUDENT ASSIGNMENT TRANSFER APPROVAL LETTER AND ANY OTHER DOCUMENTATION)

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

I DO HEREBY DECLARE THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE ABOVE NAMED STUDENT.

 

SIGNATURE OF PARENT/GUARDIAN_________________________________________________DATE_________________

 

(1) Take or send the completed information to the Base High School Principal.

(2) The Base High School Principal will send the information to the Reassigned High School Principal.

(3) The Reassigned High School Principal will send the information to Bobby Guthrie, Senior Administrator for Athletics.

 

The Senior Administrator for Athletics will make every reasonable effort to forward a decision, in writing, to the parent or legal guardian within 5 working days of receipt of the completed form and documentation.

 

The student shall be ineligible to participate in the athletic program pending approval of the appeal.  The decision of the Senior Administrator for Athletics shall be final except where a parent/guardian demonstrates a right to appeal to the Board of Education under G.S. 115C-45(c).

 

The Senior Administrator for Athletics may revoke a decision to permit a student to participate in athletics if at any time it is determined that the student has transferred for athletic purposes.                                                                               

 

                                                APPLICANTS ARE NOT TO WRITE BELOW THIS LINE                                                

 

Base High School Principal – To your knowledge, has athletics played any part in this request to transfer?   Yes____ No ____

If yes, please explain. _______________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Signature___________________________________________________

 

Reassigned High School Principal – To your knowledge, has athletics played any part in this request to transfer? 

Yes__ No ____If yes, please explain. ___________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Signature___________________________________________________

 

Athletic Participation Approved by Senior Administrator for Athletics       _____

 

Athletic Participation Denied by Senior Administrator for Athletics           _____

 

If denied, reason for denial:                                ______________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Senior Administrator for Athletics_________________________________________________Date_______________________

 

Date Letter Sent to Parent/Guardian ____________________