Sports Forms

Sports physicals must be within 365 days prior to the first try out session . Every line and blank must be filled out COMPLETELY or it will be returned to you for completion.

Sports physicals must be completed on the forms below.  No other forms will be accepted.  Please be sure the physical date is on the form and the physician signs the form. You must return the Sports Permission Form, Sports Emergency Card, Health History Update, Preparticipation Physical Evaluation, Date of Physical Exam Form, Concussion Policy Form and the Sudden Cardiac Death Acknowledgement Form. 

If your child requires an inhaler and/or an epi-pen, the Asthma Treatment Plan and/or Allergy Emergency Treatment Plan must also be completed prior to try-outs.  (see health forms page) 

*All forms must be completed (front and back) and signed. This must be done every season.

Please call the school nurse if your student’s physical is scheduled after the due date.  The school nurse must review all physicals.  The school doctor must approve all physicals.  No faxing. No emails/PDF. Send in the original forms please. See all required forms below.

sports information- pond road middle school

permission for athletic participation

sports emergency card

sports health history update

sports physical

sports related eye injury

sudden cardiac death brochure

concussion fact sheet

sports sudden cardiac death parent acknowledgement form