Get Jefferson County Public Schools Addendum To Khsaa Physical Form

Filling out the Jefferson County Public Schools Addendum to KHSAA Physical Form is essential for students participating in athletics. This guide provides clear, step-by-step instructions to ensure that you complete the form accurately and efficiently online.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Begin by entering the student's last name, first name, and middle name in the designated fields.
3. Select the student's gender by circling either 'M' for male or 'F' for female.
4. Fill in the student's birth date.
5. Indicate the number of years the student has been in middle school and high school by filling in the relevant years.
6. Provide the number of years the student has played varsity sports, including the current year.
7. Enter the student's home address, including the zip code.
8. Complete the parent's or guardian's name and contact information, including a work phone and emergency contact number.
9. Indicate whether the physical exam has been completed and if athletic insurance has been paid by selecting 'Yes' or 'No' as applicable.
10. Fill in the last school attended, including the address, grade, and years attended.
11. In the Parent Permission/Release section, read through the statements and acknowledge them by signing and dating at the bottom.
12. Obtain the necessary notarization for the signatures provided.
13. Once all sections are completed, you can save your changes, download or print the form, and share it as needed.

Complete the form online today to ensure your student is ready for athletic participation.