Get Middle School Athletic Participation Form - Henrico County Public ...

Filling out the Middle School Athletic Participation Form is a necessary step for students wishing to participate in athletics in Henrico County Public Schools. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and submit it successfully.

Follow the steps to complete the form online

1. Press the ‘Get Form’ button to access the athletic participation form and open it for editing.
2. Enter the student’s name, birth date, age, grade, and sex in the designated fields. Ensure the information is accurate for proper identification.
3. Provide the home phone number, cell phone number of the student, and the name of the parent or legal custodian. Include the work phone number for added contact options.
4. Fill in the home address of the student and specify the school the student will be attending.
5. List an emergency contact person and their phone number, ensuring they are someone other than the parent or custodian.
6. Indicate the family physician's name and their contact number. It is also important to mention the preferred hospital and any known allergies.
7. Record any current medications the student is taking and the date of the last tetanus booster.
8. Circle 'Yes' or 'No' for a series of medical history questions regarding previous injuries, chronic diseases, and any medical restrictions on participating in sports.
9. If any conditions are noted as 'Yes', provide detailed explanations in the space provided for clarity.
10. Grant permission for the staff and coaches to secure medical treatment in case of an emergency by signing where indicated.
11. Confirm the student's insurance coverage by providing the insurance company name and policy number. Indicate whether the student is covered by 24-hour school insurance or school day insurance.
12. Sign and date the form as the parent/legal guardian. Also, ensure the student adds their signature to confirm participation.
13. Ensure the physician completes the physical examination section, including relevant health details and their signature.
14. Finally, review all entered information for accuracy before saving changes to the form, downloading it for printing, or sharing it as needed.

Start filling out the Middle School Athletic Participation Form online today to ensure your student is ready to participate in athletics!