Nassau County Public Schools

Field Event Verification Form

Athlete’s Name: ____________________________ Number: _____________

Meet: _________________________ Site: _________________ Date: _________

Event: _______________ Performance: ______Ft. _________in. Place: ______

Verified By: ___________________________

Signature of Event Official

Submitt this form to Bob Beer as soon as you return from the meet.

Bob Beer

406 Birchwood Park Drive

Middle Island, NY 11953

Fax: (631) 345-9419 or E-Mail beercoach@aol.com

Nassau County Public Schools

Field Event Verification Form

Athlete’s Name: ____________________________ Number: _____________

Meet: _________________________ Site: _________________ Date: _________

Event: _______________ Performance: ______Ft. _________in. Place: ______

Verified By: ___________________________

Signature of Event Official

Submitt this form to Bob Beer as soon as you return from the meet.

Bob Beer

406 Birchwood Park Drive

Middle Island, NY 11953

Fax: (631) 345-9419 or E-Mail beercoach@aol.com