Please complete this annually and return to the nurse's office. 

This form is required for all new students in Pre-School, Kindergarten, & Grades 1-8 in addition to an updated immunization record. For current students, you may have your pediatrician fill out this form when there is a change in your child's health. 

Information on required immunizations for students

Must be current within 365 days of the start of the first day of practice. The date we go by is the date of the actual physical exam, which may be different than the date the physician signed the form. 

Parents, please fill out if the athletes PPE exam was completed more than 60 days prior to the first day of practice. It is not necessary to have a new physical exam.

Student will not be allowed to participate in athletics without this form

Please read this form and also downlad and print the Sudden Cardiac Death Sign off Sheet

Mandatory form to be signed by parent and student-athlete

Mandatory form to be signed by parent and student athlete

Mandatory form to be signed by parent and student-athlete