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SPORTS CLEARANCE PROCEDURE

PER NEW YORK STATE, ALL STUDENTS WISHING TO PARTICIPATE IN A DISTRICT SPORT (GRADES 7 THROUGH 12) MUST HAVE MEDICAL CLEARANCE TO DO SO.  MEDICAL CLEARANCE MUST BE COMPLETED ANNUALLY 

PLEASE FOLLOW THE STEPS BELOW FOR SPORT CLEARANCE, THE CHIEF MEDICAL OFFICER WILL CLEAR ATHLETES AFTER HE HAS REVIEWED ALL THE MEDICAL FORMS LISTED UNDER "SPORT PHYSICAL FORMS"AT THE BOTTOM OF THIS PAGE

1.  ATHLETES MUST HAVE A PHYSICAL TO TRY OUT.  PHYSICALS ARE GOOD FOR 1 YEAR.  ALL PHYSICAL FORMS (PHYSICAL AND QUESTIONAIRE FORM) MUST BE COMPLETED.

2.  ATHLETES MUST HAND IN AN ATHLETIC PARTICIPATION MEDICAL UPDATE FORM IF THE ATHLETE'S PHYSICAL WAS COMPLETED MORE THAN 30 DAYS OUTSIDE OF THE START OF THE NEW SEASON (NEW YORK STATE REQUIREMENT).

3. A PERMISSION SLIP MUST BE HANDED IN WITH PHYSICAL PAPERWORK. 

4. EMERGENCY CONTACT INFORMATION FORM MUST BE HANDED IN TO COACH ON FIRST DAY OF TRYOUTS.

5. CODE OF CONDUCT WILL BE HANDED OUT BY COACH ON FIRST DAY OF TRYOUT.   PARENT AND STUDENT MUST COMPLETE AND RETURN ON DAY TWO. 

6.  IMPACT TESTING (BASELINE CONCUSSION TEST) WILL BE DONE FOR CONTACT AND COLLISION SPORTS.  ATHLETES WILL BE SCHEDULED TO TAKE TEST. REGARDLESS IF THEY TAKE THE IMPACT TEST ALL PARENTS AND ATHLETES HAVE TO SIGN THE CONCUSSION INFORMATION INTERSCHOLASTIC ATHLETICS PERMISSION FORM.

 

  

Private Physician Sports Physicals

 

Attention Spring Athletes!

High School Sports Start Dates:

7th/8th Grade Spring Sports Begin 3/26/18

J.H.S. Private Physical Deadline:  March 5, 2018

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Varsity & JV Winter Sports Begin 3/5/18

H.S. Private Physical Deadline:  February 12, 2018

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Medical update forms due within 30 days of start date.  Please allow enough time for forms to be entered into I-Campus by the Health Office staff so your child is on the "Cleared List" on the first day.


All JHS & HS private physicals handed in over the summer must be dropped off at the Ward Melville High School Athletic Office.


 

 

Sport Physical Forms

IT IS SUGGESTED THAT YOU MAKE COPIES OF ALL FORMS FOR YOUR OWN RECORDS

 

(Click on a file to download it.)
 

Sports Physical Forms

 

1.  Secondary Physical Examination Form:  TO BE TURNED IN TO THE BUILDING HEALTH OFFICE.

2.  Pre-participation Questionnaire:​  TO BE TURNED IN TO THE BUILDING HEALTH OFFICE.

 
3. 
Permission Slip ​​​:  TO BE TURNED IN TO THE BUILDING HEALTH OFFICE.

 
4.  Concussion Info. & Interscholastic Athletics Permission Form:​  TO BE TURNED IN TO THE BUILDING HEALTH OFFICE.

  

5.  **Athletic Participation Update Form : TO BE TURNED IN TO THE BUILDING HEALTH OFFICE.  

      **THIS FORM IS REQUIRED IF THE ATHLETE'S PHYSICAL WAS COMPLETED MORE THAN 30 DAYS OUTSIDE OF THE START OF THE     NEW SEASON (NEW YORK STATE REQUIREMENT.) **ALL PHYSICALS (PRIVATE AND SCHOOL-PROVIDED) ARE GOOD FOR ONE YEAR.

 

6.  Athletic Emergency Contact CardsPLEASE COMPLETE BOTH SIDES OF THIS FORM AND TURN IN TO YOUR COACH ON THE FIRST DAY OF TRYOUTS.

 

7.  Parent & Physician Authorization for Administration of Medication in SchoolTHIS FORM MUST BE COMPLETED FOR YOUR CHILD TO RECEIVE MEDICATION OR TO SELF-ADMINISTER AND SELF-CARRY MEDICATION WHILE IN SCHOOL.

  

DURING THE SUMMER MONTHS THERE IS NO ONE IN THE BUILDING HEALTH OFFICES TO ACCEPT AND PROCESS PHYSICALS.  PLEASE RETURN FORMS DURING THIS TIME TO THE DISTRICT ATHLETIC OFFICE AT WARD MELVILLE, ROOM 136A DURING THE HOURS OF 8 AM AND 1:30 PM.

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NOTE TO INCOMING 7TH and 10th GRADERS: 

 

WHEN HANDING IN 7TH OR 10TH GRADE PHYSICALS (MANDATED BY NEW YORK STATE TO ENTER THESE GRADES), PLEASE BE SURE TO INCLUDE ALL ATHLETIC PAPERWORK IF YOU PLAN ON PARTICIPATING IN A DISTRICT SPORT. 

 


     

 

 


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