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Physician and Parental Permission, KHSAA Form GE04, Rev 4 13 - fcps 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin with Part I - Athlete Information. Fill in the student's name, school year, address, gender, grade, school, date of birth, and birthplace. Ensure all fields are accurately completed.
- Proceed to Part II - Medical History. Both parent and student should check 'YES' or 'NO' for each medical question. If any questions are answered 'YES', provide explanations in the designated area.
- In Part III - Physical Examination, leave this section blank for the authorized health care provider to complete during the physical exam. Ensure they fill out all necessary details regarding the student's health status.
- Move to Part IV - Consent Information. Read through the consent statements carefully and ensure both student and parent/guardian sign where required.
- Finally, complete Part V - Acknowledgment of Risk and Emergency Permission Form. Fill in all required information including emergency contact details and signatures from both student and parent/guardian.
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