
Academic Eligibility Form
Mariachi Director please submit this form as soon as possible:
Fax to: 361-668-9277
Attention: Juan Jose Sanchez
Coastal Bend College
704 Coyote Trail
Alice, TX 78332
STUDENT’S LAST NAME:______________________________
STUDENT’S FIRST NAME: __________________________
NAME OF THE MARIACHI GROUP: _________________________
________________________________________________________________________________
Please print the following information:
School Name: ______________________________________________
Activity: __Coastal Bend College Dia Del Mariachi Competition_______
Grade: ______________ Principal/Counselor: _________________________________
I give (Student Name)
_________________________________ who attends _____________________(Name of
School) permission to participate in the interscholastic sponsored activity of
Coastal Bend College.
I understand that he/she must meet eligibility requirements as stated in our school UIL policies.
I have read and understand the above regulation:
________________ _______________________________________
Signature of School
Counselor/Principal
Phone #: ____________________
Fax #: ______________________
______________________________________________________________________________________________________________
COASTAL BEND COLLEGE USE ONLY:
1. Academically eligibility verified by DDM Coordinator:______________________________________________
Disclaimer: Coastal Bend College does not discriminate on the basis of race, creed, color, national origin, gender, age, or disability.