The Physical Evaluation Form must be submitted to the Health Office once per calendar year, to be eligible to participate in an interscholastic sport.
- History Form (pages 1-2) are completed by the parent and taken to the physician on the day of the examination and housed at that office.
- Athletes with Disabilities Form: Supplement to the Athlete History (page 3) if applicable, is completed by the parent and taken to the physician on the day of the examination and housed at that office.
- Physical Examination Form (page 4) must be completed by a healthcare provider who is a licensed physician, advanced practice nurse or physician assistant and is housed at that office.
- Preparticipation Physical Evaluation Medical Eligibility Form (page 5). This is completed by the healthcare provider who has completed the exam. THIS FORM IS TO BE SUBMITTED TO THE SCHOOL HEALTH OFFICE.
**It is highly recommended that the student athlete's exam be conducted with their own physician/pediatrician. We consider this the student athlete's medical home. Although exams can be completed at urgent care facilities, they are not considered medical homes.
Athletes are not cleared to participate until the Kingsway Regional School District Physician has reviewed the physical evaluation form.