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2011-12 Athletic Physical Form - Athletics2000

2011-12 Athletic Physical Form - Athletics2000-2026

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The document outlines the requirements for a student athlete's physical examination and authorization form for the 2011-12 athletic year. It specifies that Sections I and II must be completed and signed by a parent or guardian before the physical is administered, and that completed forms must be submitted to the athletic office prior to participation in conditioning or tryouts. The form includes health questions to be answered by the parent or guardian, as well as a section for parental authorization and a physician's assessment.

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Click ‘Get Form’ to open the 2011-12 Athletic Physical Form in the editor.
Begin by filling in the student’s personal information, including their last name, first name, middle name, home phone number, and address. Ensure accuracy as this information is crucial for identification.
Indicate the student's date of birth and gender by circling 'Male' or 'Female'. Next, provide parent or guardian contact details including names and phone numbers.
In Section I, health questions must be completed by a parent or guardian. Carefully read each question and select 'Yes' or 'No' as applicable. If any questions are answered positively, elaborate on the back of the form.
Section II requires a parent or guardian's signature and date to authorize medical treatment during absences. Review all answers before signing.
Finally, ensure that Section III is filled out by a licensed physician. This includes vital signs and clearance for participation in sports. The physician must sign and date this section.

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