The ahsaa requires all athletes in alabama to have a concussion form, a physical form, nfhs sportsmanship course and a student release form on file with. Eligibility brochure pdf physical evaluation form pdf ihsaa rule 310 requires that between april 1 and students first practice in preparation for interschool athletic participation, the student shall have a physical examination by, or shall provide. Get and sign alabama high school athletic association preparticpation physical evaluation form 20102020. Authorization to reenter pdf concussion report form pdf sca lindsays law. We are committed to challenging and assisting students in realizing their individual potential and preparing them for lives of responsibility, service, and achievement. Participant agreement, consent, release, and venue ahsaa. A concussion is a brain injury and all brain injuries are serious. A copy of the physical exam is on record in my office and can be made available to the school at the request of the parents. As a school of choice, our mission at clarkshaw magnet school is to develop students into globally aware and productive citizens who excel academically and are responsible, courteous, lifelong learners. So, my suggestion is to go ahead and schedule an appointment with your doctor to update the physical in late july or early. Comments 1 hcs athletic handbook comments 1 hcs consent form. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. The athlete does not present apparent clinical contraindications to practice and participate in the sports as outlined above.
Editable yearly preparticipation physical evaluation form. The ahsaa physicians certificate form 5 must be used. Forms at this time, the most current physical form is ahsaa physical form rev 2018. The jefferson county board of education offers equal educational and employment opportunities. Must have the following items on file in the principals office. Self medication is allowed only with specific medications. Form c arkansas activities association physical exam form master problem list date identified date resolved 1. Athletes who may play college ball in the future must register for ncaa clearinghouse and meet academic requirements. Comments 1 bus driver physical form comments 1 cashier ticket sales report. The houston county board of education is committed to ensure that the information on our website is accessible to individuals with disabilities. Physical forms are documents that record and tracks someones physical fitness and health status.
Comments 1 employee peehip sharecare health screen. Saint james is an independent, nonsectarian, college preparatory school with a student body broadly representative of collegebound students. Alabama physical form fill out and sign printable pdf template. Click on the link and complete all the questions on the form. At this time, the most current physical form is ahsaa physical form rev 2018.
Marfan stigmata kyphoscoliosis, higharched palate, pectus excavatum, arachnodactyly, arm span height, hyperlaxity, myopia, mvp, aortic insufficiency neck. This will be accomplished by providing a challenging curriculum in a safe and nurturing environment. This completed form must be kept on file by the school. Alabama high school athletic association preparticipation. Whether youre a fitness junkie or applying for your first job, getting your hands with one of these will absolutely help you. Spring tryout, all cheerleaders are required to take athletics during the 1st semester of the school year tryouts. If you would like additional assistance or have accessibility concerns, please contact a school. Marfan stigmata kyphoscoliosis, higharched palate, pectus excavatum, arachnodactyly.
The alabaster city board of education does not discriminate on the basis of race, color, religion, national origin, sex, disability or age in any of its programs and activities and provides equal access to the boy scouts and other designated youth groups. Preparticipation physical exam form updated 41218 only revised 2018 form will be. The cullman county board of education does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities and provides equal access to the boy scouts and other designated youth groups. A ppa and selfmedication authorization form must be completed. The national association of sports officials naso board of directors, in consultation with the alabama high school athletic association ahsaa, has canceled the 2020 naso summit and officiate alabama day, which had been set for montgomery for later this summer. A parentguardian must deliver all medications to the school nurse. The aaa recommends the following forms from the american academy of family physicians to be used for athletic physicals. Nfhs sportsmanship upload onto your dragonfly account. Click on desired form complete all required information on the form save as pdf document print form submit to ahsaa if payment is required, submit with check payable to ahsaa forms to ahsaa should be addressed. Student agreement, consent, and release to be signed by student at the bottom i know of no reason why i am not eligible to represent my school in interscholastic athletic competition. Last modified on may 21, 2018 berry middle school hoover city schools.
The madison city board of education does not discriminate on the basis of race, color, national origin, sex, disability, religion, or age in its programs and activities, and provides equal access to the boy scouts and other designated youth groups. The jefferson county board of education is committed to ensuring all information placed on its public website is accessible to individuals with disabilities. Ahsaa physical evaluation form required to participate in athletic activities. Ahsaa eligibility rules what every parent should know about eligibility verification requirements. Copy of certified birth certificate current physical exam form signed by a doctor m. A yearly physical form is a document used in the healthcare profession that contains all information obtained in an annual health examination. Click on the link s of the form s you need and print the page to your local printer. I have examined the abovenamed student and completed the preparticipation physical evaluation. Box 242367, montgomery, al 36124 follow all directions at the bottom of the form. Soccer assistant referee forms for meritorious awards and hall of fame. If accepted as a representative, i agree to follow. The grade ahsaa physicians certificate form 5 must be used. Currentyear physical given on or after april 15 of the previous school year medical normal abnormal musculoskeletal normal abnormal appearance.
Preparticipation physical evaluation form 201819 form 5. Alabama high school athletic association physical form fill. Fill alabama high school athletic association physical form, edit online. Sanction request with bordering state schools pdf 9c2c. Alabama high school athletic association concussion information form required by ahsaa annually. All controlled substances are to be signed in and counted by a parentguardian with the school nurse. The blackboard footer will center if disclaimer is not being used and the background will be one color. Ahsaa schoolparent resources ahsaa information forms. Ahsaa schoolparent resources ahsaa information deadlines. As a member school of the alabama high school athletic association ahsaa, we require all studentathletes to submit a physical form, a concussion form. O concussion information form signed by studentathlete and parent. Ppe physical exam form arkansas activities association.
It should wrap, then the bar will grow in height if more space is needed. Step 3 go ahead and fill out all of the paperwork except the physical on. Please always make sure you have the most current physical form by following this link to the alabama high school athletic association forms webpage. Apr 21, 2020 click on desired form complete all required information on the form save as pdf document print form submit to ahsaa if payment is required, submit with check payable to ahsaa forms to ahsaa should be addressed.
The ahsaa announced that they will allow all 2019 physicals to remain valid until august 20, 2020. Ahsaa physical form alabama high school athletic association. The mobile county public school system is committed to ensuring that the content on this website is accessible to everyone, including those with disabilities and users of assistive technology. Comments 1 ashaa student participant consent form 201920.