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  • Vusd-sports Physical Form 12111 Version.doc

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Vacaville Unified School District SPORTS PHYSICAL EXAMINATION FORMPART 1 (TO BE COMPLETED BY A PARENT OR LEGAL GUARDIAN) LAST NAMEFIRST NAMEBIRTHDATEFALL SPORTGRADEWINTER SPORTSTUDENT ID NUMBERSPRING.

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How to fill out the VUSD-Sports Physical Form 12111 Version.doc online

Completing the VUSD-Sports Physical Form 12111 Version.doc online can streamline the process, ensuring that all necessary information is provided efficiently. This guide will walk you through each section of the form to aid in accurately filling it out.

Follow the steps to complete the form online

  1. Click the ‘Get Form’ button to access the VUSD-Sports Physical Form and open it digitally in your preferred editor.
  2. Begin by filling out Part 1 of the form, which must be completed by a parent or legal guardian. Provide the student's last name, first name, birthdate, and student ID number.
  3. Indicate the fall, winter, and spring sports that the student plans to participate in, along with the student's grade.
  4. In the health history section, carefully review each question and mark the appropriate 'Yes' or 'No' responses for every health-related inquiry.
  5. For any 'Yes' answers, provide further explanations in the space provided, detailing the medical history as required. This may include past illnesses, hospitalizations, or other health conditions.
  6. Complete the section identifying the date of the last tetanus shot and any ongoing medical treatments or medications the student is taking.
  7. In the Parent/Guardian Authorization area, print the name of the parent or guardian, sign, and date the form. Ensure all contact information is complete and accurate.
  8. Transfer to Part 2, which requires the examining healthcare provider to complete their evaluation and provide their signature and recommendations.
  9. Once all sections are filled out, review the information for accuracy and completeness before saving changes, downloading, or printing the completed form.

Complete your VUSD-Sports Physical Form online today to ensure a smooth process for your student's participation in sports.

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