WV Athletic Participation/Parental Consent/Physician's Certificate Form 2012 free printable template

I also give my consent and approval for the above named student to receive a physical examination as required in Part IV Physician s Certificate of this form by an approved health care provider as recommended by the named student s school administration. I consent to WVSSAC s use of the herein named student s name likeness and athletically related information in reports of Inter-School Practices or Scrimmages and Contests promotional literature of the Association and other materials and...

How to fill out wvssac sports physical form

How to fill out WV Athletic Participation/Parental Consent/Physician's Certificate Form

1. Obtain the WV Athletic Participation/Parental Consent/Physician's Certificate Form from the school or sports organization.
2. Fill in the personal information section including the athlete's name, date of birth, and school.
3. Provide the contact information for the parent or guardian, including their name, phone number, and address.
4. Complete the health history section, disclosing any medical conditions, allergies, or previous injuries.
5. Have a licensed physician complete the physical examination portion of the form, ensuring they sign and date it.
6. Review all information for accuracy and completeness.
7. Sign the parental consent section, acknowledging the risks and granting permission for the athlete to participate.
8. Submit the completed form to the appropriate school or sports organization before the participation deadline.

Who needs WV Athletic Participation/Parental Consent/Physician's Certificate Form?

1. Any student-athlete who wishes to participate in organized sports at the school or community level in West Virginia.
2. Parents or guardians of student-athletes must complete the form as part of the permission and consent process.
3. Coaches and school administrators may also need to ensure that all athletes have submitted this form prior to participation.

People Also Ask about

What is the difference between a well visit and a sports physical?

Many parents believe that a Sports Physical is the equivalent of a Well Child Exam. However, this is not the case. A Sports Physical is designed to clear an athlete for participation in sports, while the Well Child Exam is a much more in-depth health examination.

How long is a sports physical good for in Kentucky?

Sports physicals are usually good for 1 year, though you probably will have to complete a sports form each season.

What usually happens in a sports physical?

Measure your blood pressure and pulse. Test your vision. Check your heart, lungs, belly, ears, nose, and throat. Check your joints, strength, flexibility, and posture.

What is the difference between a physical and sports physical?

A sports physical is different than the annual physical because it focuses on reviewing your child's current health status and medical history to ensure that your child is healthy enough to play his or her sport.

What physical do you need for college sports?

Medical History. Physical Examination to Assess General Health. Evaluation of Posture, Joints, Strength, and Flexibility. Screening to Detect Poor Conditioning that May Put the Athlete at Increased Risk of Injury.

How long are sports physicals good for in MN?

In the state of Minnesota, sports physicals, or preparticipation physical examinations, are required every three years for all kids playing school sports in grades 7–12.

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What is WV Athletic Participation/Parental Consent/Physician's Certificate Form?

The WV Athletic Participation/Parental Consent/Physician's Certificate Form is a document required for student-athletes in West Virginia, which includes parental consent and a medical certificate verifying that the student is physically fit to participate in athletic activities.

Who is required to file WV Athletic Participation/Parental Consent/Physician's Certificate Form?

All student-athletes participating in interscholastic sports in West Virginia are required to file this form before they can engage in any athletic activities.

How to fill out WV Athletic Participation/Parental Consent/Physician's Certificate Form?

To fill out the form, parents or guardians must provide personal information about the student-athlete, sign the parental consent section, and ensure a licensed physician completes the health evaluation portion of the form.

What is the purpose of WV Athletic Participation/Parental Consent/Physician's Certificate Form?

The purpose of the form is to ensure that student-athletes are medically fit to participate in sports and to obtain parental permission, thus protecting the school and ensuring student safety.

What information must be reported on WV Athletic Participation/Parental Consent/Physician's Certificate Form?

The form must report the student's personal information, medical history, any existing health conditions, and a certification by a physician regarding the student-athlete's fitness for participation in sports.