Sports Physical Submission Form
2025-2026
Student's Name
*
First Name
Last Name
Rising Grade/Current Grade
*
Please Select
6th
7th
8th
9th
10th
11th
12th
Date of Physical
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Expiration
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
One year from date of exam
Please upload a copy of your child's sports physical:
*
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Choose a file
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of
Name of parent/coach/staff submitting physical:
*
First Name
Last Name
Parent/Coach/Staff Email Address:
*
example@example.com
Submit
Should be Empty: