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Student Athletic Address Documentation Form

  • Durham Public Schools
    Student Athletic Address Documentation Form

    This is to certify that the below listed parent/guardian of the below listed athlete in Durham Public Schools do certify that the below listed's primary residence is located in the attendance zone of of the below listed School. This is my primary domicile (living residence) and I realize that for athletic purposes I can only have one Primary domicile (living residence).

    I further understand that this residence must be inside of the Durham Public Schools Administrative Unit. I certify that the address below is my address and is within the said district and that the school in which my child attends is in the attendance zone for the school that he/she is currently attending.

    If I am not attending the school that is my normal attendance zone assignment, I am attending this school because the Office of Student Assignment has issued an approved student transfer or an approved program assignment for me to attend my current school valid for the current school year. I also realize that if I have given an incorrect or false address that my child will be declared ineligible to participate in the school sports program. My signature further signifies that I have completed this form and that I fully understand the consequences associated with giving information that is incorrect and false.
  • Parent/Guardian SignatureDate 
  • Student SignatureDate 
  • WitnessDate 
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