NUI Maynooth Representation in Inter-Varsity Sport
Confirmation of Participation
Important: Submission of this form does not necessarily release student from academic
obligations. Any course work missed must be arranged in consultation with relevant
academic department.
Name of Student: ______________
Year / Course: _______
Student Number:
_____________________
Date of Competition:
_____________________
Sport:
_____________________
League / Championship / Friendly:
_____________________ name competition
Home / Away:
_____________________ venue
Kick-Off:
_____________________
Bus leaving Maynooth:
_____________________
Signed:
____________________
Student
____________________
Dept. of Sport, NUIM
____________________
Date
____________________
Date