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2021-22 NCISAA Pre-Participation Physical Form

Pleae click here to download the Pre-Participation Form to print and take to your child's physician. Physical examination must be completed by Licensed Physician, Nurse Practitioner, or Physician Assistant.

After the student-athlete's physical, return here to upload the aforementioned, completed form at the bottom where indicated.

This is a screening examination for participation in sports. This DOES NOT substitute for a comprehensive examination with your child’s regular physician where important preventive health information can be covered. 

Student-Athlete’s Directions: Please review all questions with your parent or legal custodian and answer them to the best of your knowledge. 

Parent/Legal Custodian Directions: Please make sure that all questions are answered to the best of your knowledge. If you do not understand or are unsure about the answer to a question, please ask your doctor. Not disclosing accurate information may put your child at risk during sports activity.  

Please select the sport the student-athlete plans on playing each season.
If he/she does not wish to play a sport in a certain season, leave it blank.
If he/she decides at a later date to play an additional sport, there is no need to complete a second form.

Fall Sports
Answer Required
Winter Sports
Answer Required
Please check the box if you also wish to participate in the Shooting Team during the winter
Answer Required
Spring Sports
Answer Required
Gender*
Answer Required
Upload your completed Physical Form here*
*Physical examination must be completed by Licensed Physician, Nurse Practitioner, or Physician Assistant
Answer Required
or drag it here.
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