MVA On-Campus Physical Registration and Payment Form

Student-Athlete Name

First NameLast Name
Student-Athlete Grade Level
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Student Type:
Important to note - A completed EL2 physical will satisfy MVA's enrollment requirement of a school health entry exam/physical examination. Keep in mind participation at our sports physical event is optional, as you may elect to complete this with a separate healthcare provider licensed in the USA.
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EL2 Physical - Performed by Florida Sports Injury Team Physicians
$30.00

Total

$0.00
Please download the EL2 physical form and fill/sign all applicable fields. Our sports medicine team and volunteers will provide pages 3-4 at the physical event.

Debit or Credit Card

Choose from one of the PayPal options to make your payment.