Follow @CIACsports on Twitter Like CIAC on Facebook
CIACsports.com Home Schedules About CIAC/Contact Staff Text Message and E-Mail Updates Online Championship Tickets Customizable CIAC Tournament Merchandise Tournament Brackets, Schedules, Rosters, Info and More!!!

Unified Sports Intent To Enter Form

Team Name:
School:
Telephone:
Address:
City/Town:
Zip Code:
Event you wish to enter:
Elementary Skill Day
Other
Number of Wheelchairs/Walkers:
Roster:
Name Date of Birth M/F Athlete/
Partner
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
Name of Principal:
Name of Coach:
Coach's Direct/Cell Telephone:
Coach's e-mail:
Practice Schedule:
CERTIFICATION
By checking this box the listed coach certifies that the students listed in the above form have satisfied
the State Health Statutes and local regulations regarding physical examinations and are physically fit to participate.