Monday, July 06, 2009

In School Physicals

ATHLETIC PHYSICALS FOR FALL SPORTS PHYSICALS WILL BE PERFORMED BY OUR SCHOOL DOCTOR. THEY ARE AVAILABLE ON A LIMITED BASIS FOR STUDENTS WHO DO NOT HAVE A PRIVATE DOCTOR. THIS IS IN COMPLIANCE WITH STATE LAW.
THURSDAY
July 23rd
2 pm-5pm
ONE TIME ONLY!!!!
MUST BRING A COMPLETED AND SIGNED
HEALTH HISTORY QUESTIONNAIRE, CODE OF CONDUCT and CONSENT FOR
RANDOM STEROID TESTING

PERMISSION FORM BELOW MUST BE SIGNED BY PARENT/CAREGIVER FOR THE SCHOOL DOCTOR TO PERFORM THE PHYSICAL OR PHYSICAL CANNOT BE DONE! PHYSICALS WILL BE HELD IN THE HEALTH OFFICE.

­--------------------------------------------------------

I GIVE PERMISSION FOR _____________________________ TO BE EXAMINED BY THE SCHOOL PHYSICIAN FOR PARTICIPATION IN MONTCLAIR HIGH SCHOOL SPORTS. I UNDERSTAND THAT THE SCHOOL PHYSICIAN MAY REQUIRE CLEARANCE BY A PRIVATE DOCTOR FOR ANY MEDICAL FINDING THAT HE DEEMS NECSSARY.

___________________ _______________
Parent/Guardian Signature Telephone Number Date