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STUDENT ATHLETIC PHYSICAL EXAMINATION This form must be completed in order to participate in after school athletics. Students Name: Date of Birth: Date of Physical Examination: Height: Weight: Vision:
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01
Obtain a copy of the athletic participation physical examination form from Eastern.
02
Read and understand the instructions provided on the form.
03
Fill out the personal information section of the form, including your name, date of birth, contact information, and any relevant medical history.
04
Provide details of your current medications, if applicable.
05
Answer questions regarding your medical conditions, allergies, past surgeries, and any family medical history.
06
Complete the physical examination section of the form, which may include measurements such as height, weight, blood pressure, and vision tests.
07
If required, obtain the necessary signatures from your healthcare provider, including the date of the examination.
08
Submit the completed form to the designated department or organization at Eastern.

Who needs athletic-participation-physical-examination-form - eastern?

01
Anyone who wishes to participate in athletics at Eastern needs to fill out the athletic participation physical examination form.
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The athletic-participation-physical-examination-form - eastern is a form that documents a student's physical examination for participation in athletic activities specific to the Eastern region.
Students who wish to participate in athletic activities in the Eastern region are required to file the athletic-participation-physical-examination-form.
To fill out the athletic-participation-physical-examination-form - eastern, students must provide information about their medical history, current health status, and undergo a physical examination by a licensed healthcare provider.
The purpose of the athletic-participation-physical-examination-form - eastern is to ensure that students are healthy and fit to safely participate in athletic activities in the Eastern region.
Information such as medical history, current health status, results of the physical examination, and any medical restrictions or conditions must be reported on the athletic-participation-physical-examination-form - eastern.
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