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Physicals

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Conway Middle School - Athletics

Instructions for Completing Sports Participation Physical '18-'19

Paperwork must be received from athlete or parent.

Allow 24 hours for your eligibility to be processed.

Paperwork will NOT be accepted if there is any missing information, signatures and/or initials.

PHYSICAL:

Page 1: Parents and Students sign, print, and date at the bottom.

Page 2-3: Complete the family/student health history.

Page 3: Please explain “yes” answers.

Page 3: Fill in your insurance information on the bottom. If you do not have any, please write “NONE”.

Page 4: Write in student’s name and any sports that student intends to play. Have the Physician complete this page. If the Physician does not stamp the physical in the box, print the Physician’s name and phone number at the bottom.

NOTIFICATION OF RISK: Only one form needed

Parents and athletes print your name, sign, date, and initial. Parents must INITIAL next to each sport their son/daughter intends to play. If you do not initial the sport, they cannot try-out for that sport unless you do a new form. Check marks and x’s will not be accepted.

EMERGENCY MEDICAL TREATMENT CARD:

Parents complete & sign all information on one side of the card (English or Spanish).

PHYSICALS ARE ONLY GOOD FOR ONE CALENDAR YEAR. IN ORDER FOR AN ATHLETE TO PARTICIPATE IN SPORTS DURING THE 2018-2019 SCHOOL YEAR THEY MUST HAVE A PHYSICAL COMPLETED ON THE OCPS SPORTS SCREENING FORM ONLY.  Health Department physicals are NOT ACCEPTABLE!!

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