Get Physician And Parental Permission, Khsaa Form Ge04, Rev. 4/13 ... - Fcps

Completing the Physician And Parental Permission, KHSAA Form GE04 is essential for student-athletes looking to participate in interscholastic athletics. This guide will provide clear, step-by-step instructions on filling out the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Begin filling out Part I, which includes athlete information. Input the student's name, school year, home address, gender, grade, school, date of birth, and place of birth. Ensure all fields are accurately completed.
3. Provide attendance history in the designated section by listing the grades, school names, and school years along with varsity play status.
4. In Part II, medical history, both the parent and student should check the appropriate responses for each health question. If there are any 'yes' answers, provide explanations in the given section.
5. Proceed to Part III for the physical examination section. This must be completed by an authorized health care provider. Make sure to record the patient's name, height, weight, blood pressure, and pulse, along with any comments regarding their health.
6. In Part IV, both the student and parent/guardian must read the consent information thoroughly and sign where indicated. This includes acknowledging risks, eligibility rules, and liability waivers.
7. Complete Part V by filling out all required acknowledgment fields, including health problems, insurance information, emergency contact names and numbers, and obtaining signatures from both the student and parent/guardian.
8. After completing all sections, review the form for accuracy. Once verified, you can save the changes, download, print the form, or share it as required.

Complete your documents online to ensure your student-athlete is ready for participation!