HW Physical Evaluation Questionnaire

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HW Physical Evaluation Questionnaire - Programs

This information in shared with limited and approved administrations of BDPA. This information is kept secured just like the documents we request digitally. Any questions or issues with this document please email health@bluedevils.org

Email *

First Name *

Last Name *

What is your gender identity? *

Male

Female

Non-Binary

Prefer Not to Say

Other:

Date of Birth *

YYYY

Emergency Contact #1 - First and Last Name *

Emergency Contact #1 - Cell Phone *

Emergency Contact #1 - Email Address *

Emergency Contact #2 - First and Last Name *

Emergency Contact #2 - Cell Phone *

Emergency Contact #2 - Email Address *

BDPA Program (select all that apply) *

Blue Devils

Blue Devils B

Blue Devils C

RCC Percussion

Thesis Percussion

Special Needs Guard

BDWinds

Required

Section *

Instrument *

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