Printable Sports Physical Form For Khsaa Athletic Participation Physical Examination Form Parental and Student Consent and Release For High School Level grades 9 12 participation PART I ATHLETE INFORMATION Kentucky High School Athletic Association 2280 Executive Drive Lexington Kentucky 40505 This part must be completed by the student Name Last First Initial
KHSAA Form MS01 Middle School Parent Permission and Consent Rev 4 1 5 page 1 of 2 KHSAA 2015 The student and parents guardian must read this statement carefully and sign where required By signing this form all parties agree that they have accurately completed all sections of the form and have read and agree to the terms of this form as This form should be kept in a secure location until the student has exhausted eligibility graduated from high school and reached the age of 19 ATHLETE INFORMATION This part must be completed by the student and family Name Last First Initial Home Address Street City State Zip School Year Gender Date of Birth
Printable Sports Physical Form For Khsaa
Printable Sports Physical Form For Khsaa
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Sports Physical Form To access the student sports physical form visit the Kentucky High School Athletic Association website At the bottom of the webpage in the lower left hand side click the KHSAA Forms link It can also be found by doing a internet search for KHSAA Sports Physical Form Accessibility Physical Examinations and Parent Permission JCPS requires all student athletes participating in middle and high school events to have a completed and up to date sports physical The Kentucky High School Athletic Association KHSAA includes both Middle School MS01 and High School GE04 physical forms You can also go to the KHSAA website
CLICK HERE to access the KHSAA Athletic Participation Form Physical Exam for students in grades 5 8 participating in competition for grades 6 8 middle school If a middle school student athlete participates at the high school level as well the High School Level Physical Form must be completed as well Please see the link below Microsoft Word GE04 DOC KENTUCKY HIGH SCHOOL ATHLETIC ASSOCIATION 2280 Executive Drive Lexington Kentucky 40505 Athletic Participation Physical Examination Form Consent and Release Name Last First Initial Home Address Street City State Zip Gender Date of Birth Grade PART I ATHLETE INFORMATION
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KENTUCKY HIGH SCHOOL ATHLETIC ASSOCIATION 2280 Executive Drive Lexington Kentucky 40505 Physician s Name please print KHSAA Form GE04 Rev 4 02 Physical Exam must be signed by licensed physician or Doctor of Osteopathy only Title ge04PhysicianForm doc Author User1 AHS KHSAA physical form 2022 2023 Returning Students Athletic Physical Form Below is the required KHSAA annual physical form for all Assumption High School students playing a sport
1 Review the History Form pages 1 2 with the student and his her parent guardian as part of the pre participation physical evaluation 2 Complete the Physical Examination Form page 3 AND SIGN the bottom of page 3 3 Complete the Medical Eligibility Form page 4 AND SIGN page 4 NOTE Two signatures are required by the healthcare provider American Orthopaedic Society for Sports Medicine and American Osteopathic Academy of Sports Medicine Permission is granted to reprint for noncommercial educa tional purposes with acknowledgment KHSAA Form PPE01 Physical Clearance Form
Khsaa Athletic Participation Physical Examination Form Consent And Release 2009 Printable
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Athletic Participation Physical Examination Form Parental and Student Consent and Release For High School Level grades 9 12 participation PART I ATHLETE INFORMATION Kentucky High School Athletic Association 2280 Executive Drive Lexington Kentucky 40505 This part must be completed by the student Name Last First Initial
http://www.stjoeelem.org/wp-content/uploads/2016/12/KHSAA-sports-physical-form.pdf
KHSAA Form MS01 Middle School Parent Permission and Consent Rev 4 1 5 page 1 of 2 KHSAA 2015 The student and parents guardian must read this statement carefully and sign where required By signing this form all parties agree that they have accurately completed all sections of the form and have read and agree to the terms of this form as
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Khsaa Athletic Participation Physical Examination Form Consent And Release 2009 Printable
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Physical Form For Sports How I Successfuly Organized My Very Own Physical Form For Sports AH
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Khsaa Preparticipation Physical Evaluation Physical Examination Form Printable Pdf Download
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Printable Sports Physical Form For Khsaa - Physical Examinations and Parent Permission JCPS requires all student athletes participating in middle and high school events to have a completed and up to date sports physical The Kentucky High School Athletic Association KHSAA includes both Middle School MS01 and High School GE04 physical forms You can also go to the KHSAA website
