Harrisburg sd north middle school sport physical forms

According to CHSAA bylaw 1780.1, an adequate physical examination by a licensed practioner is required within 365 days of sports participation. https://chsaanow.com/sports/2021/7/19/bylaws.aspx

  1. Please download Preparticipation Physical Evaluation (PPE) pages 1, 2, 3 and 4.
  2. Parent and athlete to both complete forms (Page 1, 2), including important medical information pertaining to your student athlete that the school will need to know.
  3. Bring all four (4) pages to the licensed practioner for physical examination in timely manner prior to sports season.
  4. Student or parent shall submit ONLY PAGE 4 to the school athletic office as part of the athletic registration process.

CHSAA Sports Physical/Preparticipation Physical Examination Forms

2024-2025 PSD Middle School Pre-Participation Physical Examination Forms

  1. Please download PSD Middle School Pre-Participation Physical Examination Forms pages 1, 2, 3 and 4.
  2. Parent and athlete both complete forms (Page 1, 2), including important medical information pertaining to your student athlete that the school will need to know.
  3. Bring all four (4) pages to the licensed practioner for physical examination in timely manner prior to sports season.
  4. Student or parent shall submit ONLY PAGE 4 to the middle school athletic office as part of the athletic registration process.