Required Participation Forms
|Please email all forms to firstname.lastname@example.org
Mandatory Concussion Program for Student-Athletes and Parents (Only needs to be done once a school year)- Print out last page and both athlete and parent need to sign and return to Activities Office
Emergency Care Form (Must be completed for each season)
VHSL Physical Examination Form (Only needs to be done once per school year. Must be dated after May 1st 2020)
Important things to look out for before submitting your VHSL Physical Form
The VHSL Physical Form consists of 4 pages.
Make sure that you are using the Revised February 2017 Form
Page 1. Fill out all the information and don’t forget Student Signature and date at the bottom of the page.
Page 2. Answer all questions! All boxes must be individually checked with an X or check mark. Bottom of the Page make sure you have Parent/Guardian and Athlete Signature
Page 3. To be completed by your Doctor’s Office. Make sure you have the Physician SIGNATURE and DATE of Physical Examination
Page 4.Circle the Sport you are trying out for.
*We must have your Insurance Information. If you do not have Insurance through your parents, you can purchase Student Accident Insurance through the School by using this link http://www.kandkinsurance.com/sites/K12Voluntary/Pages/Home.aspx
Parent signature is required in two places at the bottom of the page.
Questions: Feel free to contact Stefanie Evers @ Severs2@fcps.edu or Michael Tierney @ email@example.com
Student Accident Insurance (Only needed if you don't have Insurance Coverage through Parent)