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NORTH CAROLINA HIGH SCHOOL ATHLETIC ASSOCIATION SPORT PARTICIPATION EXAMINATION FORM Patient s Name: Age: Gender: Grade (2014-15): This is a screening examination for participation in sports. This
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How to fill out pre-participation form 4 17

How to fill out pre-participation form 4 17:
01
Begin by carefully reading and familiarizing yourself with the form. Make sure you understand all the questions and sections required for completion.
02
Provide accurate personal information including your full name, date of birth, address, and contact details. Ensure that all information is legible and up-to-date.
03
Fill in the medical history section thoroughly and honestly. Include any relevant allergies, chronic conditions, medications, surgeries, or previous injuries.
04
Answer all additional questions pertaining to your health and physical fitness honestly. This may include inquiries about your current activity level, exercise habits, family history of medical conditions, and any symptoms experienced during exercise.
05
If applicable, complete the emergency contact section by providing the name, relationship, and contact information of a person who can be reached in case of an emergency during your participation.
06
Review the form once completed to ensure all sections have been accurately filled out. Double-check for any spelling errors or missing information.
07
Sign and date the form in the designated areas to verify the accuracy of the provided information.
08
Submit the form to the appropriate authority or organization as instructed, ensuring any required attachments or additional documents are included.
Who needs pre-participation form 4 17:
01
Individuals participating in organized sports activities such as school athletics, community sports leagues, or recreational programs may be required to fill out pre-participation form 4 17. This form helps assess the individual's physical readiness for participation and allows medical professionals to identify any potential risks.
02
Educational institutions, sports organizations, and event organizers often utilize pre-participation forms to prioritize the safety and well-being of participants. By gathering relevant medical and health information, these forms help ensure appropriate care and support can be provided in case of emergencies or unforeseen circumstances.
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What is pre-participation form 4 17?
Pre-participation form 4 17 is a document used to gather important information about an individual's health history and current health status before participating in certain activities.
Who is required to file pre-participation form 4 17?
Participants who are involved in activities that pose a risk to their health or safety, such as sports or physical training, are required to file pre-participation form 4 17.
How to fill out pre-participation form 4 17?
Pre-participation form 4 17 can be filled out by providing detailed information about one's medical history, current medications, allergies, and any existing health conditions.
What is the purpose of pre-participation form 4 17?
The purpose of pre-participation form 4 17 is to assess the individual's health status and identify any potential risks or limitations that may affect their participation in certain activities.
What information must be reported on pre-participation form 4 17?
Information such as medical history, current medications, allergies, existing health conditions, emergency contact information, and consent for medical treatment must be reported on pre-participation form 4 17.
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