PIAA: RE-CERTIFICATION BY PARENT/GUARDIAN
You are required to provide medical insurance coverage in order to participate in our interscholastic program. This certifies that my child has proper and adequate coverage.
If any SUPPLEMENTAL HEALTH HISTORY questions below are checked YES, the Athlete must submit a completed PIAA form Section 9, Re-Certification by Licensed Physician of Medicine or Osteopathic Medicine.
Does your athlete wear: contacts/ glasses Has your athlete ever had: asthma/ diabetes / kidney injury / heart condition If yes, please explain:
Radnor Township School District Permission from Parent, Guardian for Medical Treatment
As a parent/guardian I expect every effort will be made to contact me in order to receive my specific authorization before any treatment or hospitalization is undertaken.
If Parent/Guardian cannot be reached call:
In the event of an emergency requiring medical attention, I grant permissison to a physician or other hospital personnel designated by the Radnor coaching staff to attend my son/daughter.