Panthers News · Physical Packets – Don’t forget the signatures!!


Don’t forget the signatures in your physical packets. There have been
several physical packets turned in missing signatures.
Physicals will not be considered complete until they are completely filled
out and have all required signatures.

pg 1 – history form – please fill out – no signatures required

pg 2 – continuation of history form – please fill out – parent and student signature required

pg 3 – examination form – healthcare provider fills out – healthcare provider address, phone number, and signature required

pg 4 – medical eligibility form – healthcare provider fills out top portion, parent or guardian fills out bottom – healthcare provider signature and parent/guardian signature required

pg 5 – KSHSAA eligibility form – please fill out – parent and student signature required

pg 6 – concussion form – please fill out – parent and student signature required

pg 7 – proof of insurance form – please fill out with insurance information (if you do not have health insurance please contact school office for more info) – parent/guardian signature required

pg 8 – medical consent form – please fill out – parent/guardian signature required

Click here for downloadable physical packet