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Physical Evaluation Form

PLEASE READ!

In order to participate in athletics for Franklin Central, a physical evaluation must be completed and turned in PRIOR to the start of practice, conditioning or participation.

EFFECTIVE 4/1/17:  All pre-participation physical evaluation forms require the original signature of a Physician (MD or DO) or RN in addition to their license number for validity, as well as the name and address portion filled out.

*A pre-stamped, copied or facsimile signature is not accepted.

The Physical Evaluation Form below includes a cover page with concise, specific level of instruction with respect to the expected process of completing the physical form.

*Pages 1 & 4 to be filled out by Athlete and Parent/Guardian

*Page  2 to be filled out by Physician as stated above

 

Click here to download the CURRENT ACCEPTED copy of the Physical Evaluation Form.