A protector for a broken nose does not require a letter from the state association.
The case play says, "A protector for a broken nose, even though made of hard material, is permissible if it does not extend so as to endanger others, if it is not sharp and if it has no cutting edges.
There's no other requirement. If your state association requires it, fine. But there's no NFHS rule requiring state asscoiations to first approve it.
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