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Rev. January 2014 Routing 1 2 3-Page 1 of 4 Athletic Participation/Parental Consent/Physical Examination Form Separate signed form is required for each school year May 1 of the current year through
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Begin by carefully reading through the form to understand the information it requires.
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Start by providing your personal details, including your full name, date of birth, address, and contact information.
03
Fill in the section regarding medical history. This will include any past illnesses, surgeries, or medications you are currently taking. Be thorough and accurate in providing this information.
04
Next, complete the section related to any known allergies or specific medical conditions you may have. Include details about any medications or treatments you are currently undergoing for these conditions.
05
Proceed to the vaccination records section. Provide details of all the vaccines you have received, including the dates and any additional information required.
06
If you have any existing medical conditions or injuries that may affect your participation in physical activities, disclose them in the appropriate section. Be sure to add any relevant details or supporting documents if necessary.
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Complete the emergency contact information section, providing the names and contact details of individuals who should be contacted in case of an emergency.
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Finally, carefully review the form to ensure all the information provided is accurate and complete. Sign and date the form in the designated areas.

Who needs visaa-pre-participation-physical-examination-formdocx - northcross:

01
Students participating in sports or physical activities organized by the Northcross school or institution.
02
Parents or legal guardians of students who are minors and will be participating in physical activities.
03
Coaches or instructors responsible for organizing and overseeing the physical activities at Northcross school or institution.
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The visaa-pre-participation-physical-examination-formdocx - northcross is a form used for physical examinations before participating in VISAA sports at Northcross school.
All students planning to participate in VISAA sports at Northcross school are required to file the form.
The form should be completed by a licensed healthcare provider after conducting a thorough physical examination of the student.
The purpose of the form is to ensure that students are physically fit to participate in sports and to identify any potential health concerns that may affect their participation.
The form typically includes personal details of the student, medical history, immunization records, results of physical exams, and any recommendations from the healthcare provider.
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