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CCSD Student Athletic Packet 2013-2024 free printable template

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I understand that my signature throughout this athletic packet is an acknowledgement and agreement to abide with the CCSD Policies and Regulations Nevada Interscholastic Activities Association NIAA regulations NAC 386. 1 272 1947 1943 NCL 10594. 02 NRS A 1967 482 1987. 482 We acknowledge that this form must be signed by both parent / legal guardian and our child before our son / daughter will be cleared for athletic competition at his / her high school. Print Student Name Page 7 CLARK COUNTY...
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How to fill out ccsd sports physical form

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How to fill out ccsd sports physical form:

01
Obtain the form from your school or the CCSD website.
02
Read all instructions on the form carefully.
03
Fill out the personal information section, including your name, address, and contact details.
04
Provide your medical history, including any previous injuries or medical conditions.
05
Fill out the emergency contact information section.
06
Have a healthcare professional complete the physical examination portion of the form, including measurements and vital signs.
07
Make sure all required signatures are obtained, including yours and your parent or guardian's.
08
Submit the completed form to your school or the appropriate CCSD office.

Who needs ccsd sports physical form:

01
All students participating in CCSD sports programs.
02
This form is required for both new participants and returning athletes.
03
It ensures that students are in good health and able to safely participate in sports activities.

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All students who plan to participate in any CCSD sports program must file a CCSD Sports Physical Form.
The CCSD Sports Physical Form is used to document the medical clearance required for students to participate in organized sports and activities during the school year. This form is to be completed by a licensed physician, physician’s assistant, or nurse practitioner and includes a physical examination, medical history, and other relevant information to ensure that the student is physically able to participate in the school’s extracurricular activities.
1. Student's name, birthdate, address, phone number and guardian contact information 2. Height, weight, blood pressure, vision and hearing tests 3. Immunization record 4. A detailed medical history 5. Documentation of physical exam by a physician or physician's assistant 6. Acknowledgement of the risks associated with participating in sports 7. Signature of physician or physician's assistant, student and parent/guardian
The deadline to file CCSD sports physical forms varies from year to year and is typically determined by the school district. It's best to check with your local school district for the exact deadline in 2023.
The penalty for the late filing of a CCSD sports physical form varies depending on the school district's policy. In some cases, students may be prohibited from participating in sports until the form is completed and filed.
CCSD sports physical form refers to the physical examination form that is required for student-athletes in the Clark County School District (CCSD) in Nevada, United States. This form is necessary for students to participate in sports activities and is used to assess the student's overall health and fitness to ensure they can safely engage in sports. The form typically includes sections for medical history, current medications, immunizations, physical examination findings, and clearance for participation. It is usually completed and signed by a qualified healthcare professional.
To fill out the CCSD sports physical form, follow these steps: 1. Download the form: Go to the official website of CCSD (Clark County School District) and locate the "Sports Physical Form" or "Athletic Physical Examination Form." Download and save it to your computer. 2. Open the form: Open the downloaded form using a PDF reader or any software that allows you to fill in PDF forms. 3. Personal information: Start by providing your personal information, including your full name, date of birth, gender, address, contact number, and email address. If you are under the age of 18, make sure a parent or guardian fills out the sections requiring their information. 4. Medical history: The next section of the form will ask you about your medical history. Answer the questions truthfully, including any previous injuries, surgeries, chronic conditions, allergies, medications, or any other relevant medical information. If any question is not applicable, mark it as such. 5. Family medical history: Fill out the portions related to your family medical history, if applicable. This section may ask about any family history of heart conditions, diabetes, asthma, or other relevant conditions. 6. Physical examination: The next part of the form consists of the physical examination. A licensed healthcare provider will typically complete this section during your physical appointment. The healthcare provider will assess your height, weight, blood pressure, pulse, vision, hearing, respiratory system, cardiovascular system, musculoskeletal system, and other important parameters. Ensure that these parts are filled out by the healthcare provider during your physical examination. 7. Date and signature: Once all the necessary fields are completed, sign and date the form at the bottom. If you are under 18, your parent or guardian will also need to sign and date the document. 8. Additional signatures: Depending on the regulations of CCSD, there might be additional sections for coaches, athletic directors, or other school officials to sign. Follow the instructions provided on the form to ensure all required signatures are obtained. 9. Submission: After completing the form, save a copy for your records, and submit it according to the instructions provided by your school or athletic department. This may involve mailing, hand-delivering, or submitting the form online. Remember to schedule your sports physical appointment well in advance of any required deadlines to ensure ample time for completion and submission.
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