WIAA Sports Physical Registration

WIAA Sports Physical Registration

Register your child for a FREE sports physical here. If registering more than one child, each child needs a separate registration form. There are 3 appointments available for each time slot. Once all appointments in each time slot are full, the time slot will no longer be seen. A parent is REQUIRED to be present during the appointment. Call the Green Lake County Health Department at 920-294-4070 with questions.
Student Full Name

First NameLast Name
Parent Name
Parent Email Address
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is your child attending sports camp?
We'd love to understand how we can improve. What factors influenced your decision to have your child NOT attend sports camp?
Is your child taking any medications?
Does your child have any medical conditions?
Appointment
Should be Empty: