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! Rev. January 2014 Routing 1 2 3 ! Page 1 of 4 49 Seahorse Lane, Christchurch Virginia 23031 (804) 7582306 www.christchurchschool.org Athletic Participation/Parental Consent/Physical Examination
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How to fill out athletic participation parental consent physical examination:

01
Obtain the necessary forms: Contact your school or organization to get the specific forms for athletic participation parental consent and physical examination.
02
Read and understand the forms: Carefully go through the forms to understand the information required and any additional instructions provided.
03
Personal information: Fill in the required personal information, such as your name, address, date of birth, and contact details.
04
Medical history: Provide your medical history, including any allergies, previous injuries, chronic conditions, or medications you are currently taking.
05
Emergency contact information: Fill in the necessary emergency contact details of a parent or guardian who can be reached during athletic activities.
06
Consent and release: Sign and date the parental consent section to grant permission for your participation in athletics, acknowledging any potential risks involved.
07
Physical examination: Schedule a physical examination with a qualified healthcare provider. Take the forms with you to the appointment so that the necessary medical evaluation can be conducted and recorded on the forms.
08
Healthcare provider's signature: After the physical examination, the healthcare provider will need to sign and provide their contact information to validate the medical examination.
09
Return completed forms: Once all sections are filled out accurately and signed appropriately, return the completed forms to the designated location, such as the school's athletic department or organization's office.

Who needs athletic participation parental consent physical examination?

01
Student athletes: Any student who wishes to participate in athletic activities, whether at a school or within an organization, may need to complete the athletic participation parental consent physical examination forms.
02
Parents or guardians: As the legal guardians of the student athlete, parents or guardians are responsible for filling out and signing these forms, granting permission for their child to engage in athletic activities and disclosing vital medical information.
03
Healthcare providers: Qualified healthcare providers, such as doctors or nurses, are involved in conducting the physical examination and assessing the student athlete's medical fitness to participate in sports. Their expertise is needed to complete the required medical evaluation section of the forms.
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Athletic participationparental consentphysical examination is the process of obtaining consent and medical clearance for a student athlete to participate in sports activities.
Student athletes are required to file athletic participationparental consentphysical examination before participating in sports activities.
To fill out athletic participationparental consentphysical examination, student athletes must complete the required forms and have a medical professional perform a physical examination.
The purpose of athletic participationparental consentphysical examination is to ensure that student athletes are physically fit to participate in sports activities and to obtain parental consent for their participation.
The information reported on athletic participationparental consentphysical examination includes medical history, current health status, and results of the physical examination.
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