Get the free VUSD-Sports Physical Form 12111 Version.doc

Vacaville Unified School District SPORTS PHYSICAL EXAMINATION FOREPART 1 (TO BE COMPLETED BY A PARENT OR LEGAL GUARDIAN) LAST NAMEFIRST NAMEBIRTHDATEFALL SPORTGRADEWINTER SPORTSTUDENT ID NUMBERING

How to fill out vusd-sports physical form 12111

How to fill out vusd-sports physical form 12111:

1. Gather all necessary information such as personal details, medical history, and emergency contact information.
2. Fill out the first section of the form which usually includes the student's name, address, date of birth, and contact information.
3. Provide detailed information about the student's medical history including any past injuries, illnesses, or chronic conditions.
4. Complete the section on immunizations by listing all vaccines received and their corresponding dates.
5. If applicable, provide information on any allergies or medications currently being taken by the student.
6. Make sure to carefully read and answer all questions regarding the student's physical condition and any restrictions on participation in sports activities.
7. If necessary, have a licensed healthcare professional fill out the respective sections of the form such as the medical examination and clearance for participation in sports.
8. Sign and date the form, ensuring that all necessary signatures from both the student and parent or guardian are included.
9. Submit the completed form to the relevant school or sports organization prior to participation in any sports activities.

Who needs vusd-sports physical form 12111:

1. Students who wish to participate in sports activities organized by the VUSD (Vancouver Unified School District).
2. Parents or legal guardians of students who are under the age of 18 and wish to participate in sports activities organized by the VUSD.
3. Coaches, athletic trainers, and relevant staff who require a completed physical form for a student's participation in VUSD sports.

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What is vusd-sports physical form 12111?

VUSD Sports Physical Form 12111 is a document required for student-athletes in the VUSD (Visalia Unified School District) to ensure they are medically fit to participate in sports.

Who is required to file vusd-sports physical form 12111?

All student-athletes participating in sports programs within the Visalia Unified School District are required to file the VUSD Sports Physical Form 12111.

How to fill out vusd-sports physical form 12111?

To fill out the VUSD Sports Physical Form 12111, students and their parents or guardians must complete personal information, medical history, and have a licensed medical professional conduct a physical examination.

What is the purpose of vusd-sports physical form 12111?

The purpose of the VUSD Sports Physical Form 12111 is to ensure that student-athletes are physically capable of participating in sports, to identify any health concerns, and to mitigate risks of injury.

What information must be reported on vusd-sports physical form 12111?

The form must report personal identification details, medical history, any existing health conditions, allergies, and the results of the physical examination conducted by a healthcare provider.