Riders Interscholastic Federation of North America, Inc. (RIFNA)

School Application

School Information:

Name:                                                                                                                                                                                    

Address:                                                                                                                                                                               

City:                                                                        State:                                      Zip:                                                        

Telephone:                                                                            Club or Team Sport:                                                            

School Advisor Name:                                                           Telephone:                                            _____

School Athletic Director Name:  ______________________________Telephone: __________________

School Principal Name:____________________________________ Telephone: __________________

Do you require an up to date physical for your students/athletes?   Yes                 No

Do you have any other requirements for student/athlete participation?   Yes*                 No

*If yes, please describe:  ________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Fee Paid:  $                                                                              Check Number:                                                  

By signing this document, I verify that, to the best of my knowledge, the above information is true. 

School Advisor Signature:                                                                                 Date: