Fillable Printable Proof Of Residency Template Letter

Proof Of Residency Template Letter

Proof of Residence

Per Rutherford County Board of Education directive, it is required coaches verify that an

athlete’s address is within the school attendance zone prior to beginning practice each year.

You must submit this form along with the following documents to be eligible to tryout or

practice:

1. A current utility bill. MUST BE A GAS, ELECTRIC, OR WATER BILL. (A cell

phone or cable bill will not be accepted as proof of residence.)

2. A copy of zone verification from the Rutherford County Schools Website. Type in

your complete street address and grade. Print the screen that verifies that you are zoned

for Blackman High School.

Student Name__________________________________________________________

*Address_______________________________________________________________

* This address must be the primary residence of the student’s custodial parent/guardian.

Parent/Guardian Name___________________________________________________

Phone Number_________________________________________________________

I hereby state the above information is correct.

_________________________________ _______________________

Signature of Student Date

_________________________________ ________________________

Signature of Parent/Guardian Date