Limited Facilities Waiver Form

MPA Limited Facilities Waiver Form
Name of High School Requesting Waiver:*
Community in which the high school is located:*
Other communities within the boundaries of that school unit:
Waiver request is for:*

GymnasiumAthletic Fields (provide specifics below)Other (provide specifics below)
Explanation if Athletic Fields or Other was selected above
Please provide any other information that might add to the uniqueness of your situation.
The administrator requesting waiver certifies that there are no other facilities within the confines of the communities listed above and also indicates awareness that all other aspects of the MPA Sport Season Policy will be adhered to if this waiver is approved. The waiver is granted for one school year only and must be reapplied for the following year.
Name of Administrator Requesting Waiver*

First NameLast Name
Email*
example@example.com
Should be Empty:

MPA Limited Facilities Waiver Form