2024 Sports Physical Registration Form

2024 Sports Physical Registration Form

Saturday, May 4, 2024
Student Information
Name*

Last Name
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Heading
Appointment
Appointment
First NameLast Name
Contact Information

Reminder email will be sent for confirmed appointment
Parent/Guardian Name*

First NameLast Name
Parent/Guardian E-mail address*
example@example.com
Sports/ Extra Curricula Activities
Please select the participating athletic or extra curricula activity for the 2024 school year*
School Information
If you attend Dallas ISD, please select the school where you perform athletic or extra curricula activities*
If you DO NOT attend Dallas ISD, please select your school district or organization. *
If you selected OTHER, please indicate the name of your school or associated organization.
Required Documentation

Please download the form or contact your sports medicine department for a physical copy. completed form will be accessible with your sports medicine department. Copies will not be available onsite during the event.
Have your completed the UIL preparticipation physical form? (see below) *
Sports Physical Appointment- May 4th*
Should be Empty:

Student Information