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DELAWARE INTERSCHOLASTIC ATHLETIC ASSOCIATION Parents/Guardian: The DIANA pre-participation physical evaluation and consents form is a five-page document. Pages one, two and four require your signature
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Begin by entering your full name in the designated field.
02
Provide your date of birth, including the day, month, and year.
03
Indicate your gender by selecting the appropriate option (male or female).
04
Fill in your residential address, including the street name, city, state, and ZIP code.
05
Enter your contact information, including your phone number and email address.
06
Indicate your emergency contact details, such as the name and phone number of a person to be notified in case of emergency.
07
If applicable, provide any previous medical history or current medical conditions.
08
Sign and date the form to certify that the information provided is correct.
09
Submit the form as instructed by the relevant institution or organization.

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Individuals who are applying for a job that requires a physical examination.
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Students who are enrolling in a school or university, particularly for sports or other physical activities.
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Patients who are seeking medical treatment or undergoing a medical procedure that requires a comprehensive health evaluation.
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