SPORTS PHYSICAL 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 IMMEDIATELY:  All SPORTS PHYSICALS require the original signature of a Physician (MD or DO), Nurse Practitioner (NP), or Physician Assistant (PA) AND 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, ORIGINAL MUST BE SUBMITTED TO THE ATHLETIC OFFICE – NO EXCEPTIONS.

 

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

 

To ensure you have the current correct form – see the highlighted areas below:

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