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School and Sports Physicals
Sport Sign-Up Forms


Students interested in participating on an interscholastic sports team must complete a sports sign-up packet, which includes a total of five forms. The forms must be completed by the athlete and his/her parent/guardian.  

The complete packet and individual forms may be downloaded by clicking on the links to the right.
 

1. School and Sport Physical Form
2. Annual Health History Form

3. Interval Health History Form
4. Extra Curricular Code of Conduct Form

    (must be signed every season)

5. Emergency Form/Consent Form
(must be signed every season)

Students who have not completed the above process and have not been approved by the Health Office will be considered ineligible for sports and can not practice or participate until they are cleared by the nursing staff.

If a student is involved in an accident, which is related to his/her participation in interscholastic athletics, the parent/guardian should first notify the coach and then the school nurse. Upon his/her returned from an injury, the student must have either a written release or restriction from the attending physicians, which is reviewed by the school nurse, a copy given to the coach and the original is kept in the student's health records.

If athlete meets all of the above requirements he/she will be eligible for Duanesburg athletics.  

1. School and Sport Physical Exam Form
Students must have a physical within 12 months of the beginning of the sport season he/she wishes to participate in. Students can go to his/her own physician for a physical or have one done by the school physician.

Students needing sports physicals, school physicals (new students and 7th and 10th grade students) and/or physicals to obtain working papers should make an appointment with the high school health office.

Please note: Physicals are by appointment only. Students may also have physicals done by their own physician, but the physical must be reviewed by the school nurse before a student is eligible to attend practice.


2. Annual Health History Form
This form is necessary when a student is signing up for their first sport of the year. The form should be completed prior to the physical, signed by the student and their parent/guardian and made available at the time of the physical.

If the form is not completed and returned, the school physician may not give final approval for the individual to participate.


3. Interval Health History Form
This form should be completed in addition to the annual health history form if the athlete's physical was completed more than 30 days before the sport begins.
 

4. Extra curricular Code of Conduct Form
The Code of Conduct should be reviewed and signed by athlete and their parent/guardian.

Students who have not completed the above process and have not been approved by the Health Office will be considered ineligible for sports until they are cleared by the nursing staff.


5
. Emergency Form/Consent Form
The emergency form/consent form must be signed and returned each sports season. The coach will keep a file for his records in case of emergency. 


 

> Back
Sports Sign-Up Packet
Download the complete Sports Sign-Up Packet
*See other forms, below, for athletes who require use of an EPI pen/Inhaler/Glucagon pen.
Individual Sport Sign-Up Forms
School and Sport Physical Exam Form
Annual Health History Form
Interval Health History Form
ExtraCurricular Code of Conduct Form
Emergency Form/Consent Form
Other Forms
If your child participates in athletics and requires use of an EPI pen/Inhaler/Glucagon pen in emergency situations, the following form will need to be completed by the child's parent and physician each school year.
EPI pen/Inhaler/Glucagon pen Form
Visit the Athletics section of the district Web site
 

This page is maintained by Audrey Hendricks, communications specialist, according to the Web publishing guidelines of Duanesburg Central Schools, 133 School Drive, Duanesburg, NY 12053. Copyright © 2004. All rights reserved. Produced and maintained in cooperation with the Capital Region BOCES Communications Service.