Forfeit Report - Non-League/Non-Conference Game(s)

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School Forfeiting Game(s)

Sport

League/Conference

Reason for forfeit

NJSIAA Action Taken (to be completed by NJSIAA Staff only)

Game(s)

Opponent	Date	Does affected school accept forfeit?	Operations
Opponent	Date	Does affected school accept forfeit? To be completed by NJSIAA staff only.

Athletic Director

Person completing this form

Title

Email for confirmation of submission

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