MPA Transfer Waiver Agreement Form

MPA Transfer Waiver Agreement Form

This form is to be processed when a student transfers from one school to another without a corresponding change of legal residence of both the student and the parent/guardian and wishes to participate in interscholastic athletics (MPA Bylaws, Article III, Section 4).
Is the student entering high school as a ninth grade student?

Yes - If YES, stop here. This form is NOT necessary. No - If NO, please continue.
Was there a bona fide corresponding change of address by both the student and their parent/guardian?

Yes - If YES, stop here. This form is NOT necessary. No - If NO, this Transfer Waiver Form must be completed and submitted.
Required Worksheets for Processing Transfers:

Transfer Waiver Agreement Worksheet

Foreign Exchange Student Worksheet

International Student Worksheet
Student Name *
Student Gender *

Male Female
Date of Birth *
Month/Date/Year
Student's Age *
Student's Current Grade in School *
Date Entered Grade 9 *
Name of Sending School *

Address of Sending School *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number of Sending School
Name Contact Person at Sending School *
Did the student complete the previous semester at the sending school? *

Yes No - If no, enter the last date of attendance at the sending school below.
If No was checked above, enter the last date of attenance at the sending school if the previous semester was not completed.
Name of Receiving School *

Address of Receiving School *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number of Receiving School
Name of Principal/Contact at Receiving School *
Email for Confirmation Receipt *
example@example.com
Date of Student's Enrollment at Receiving School *

Please note if the student enrolled at your school after the opening date of a sport season, they may not participate at the varsity level during that season.
(This includes students with a change of address.)

Authorized School Consent
Does the administration of the sending school agree that the student has not transferred primarily for athletic purposes? *

Yes No - If no, contact the MPA office - 207-622-0217.
Does the administration of the receiving school agree that the student has not transferred primarily for athletic purposes and that the necessary worksheet(s) have been completed and are on file at the school? (Worksheets do not need to be submitted to the MPA office.) *

Yes No - If no, contact the MPA office - 207-622-017.
Contact the MPA office for clarification/assistance - 207.622.0217.
Should be Empty: