CISD Athletic Physicals
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Student Last Name *
Student First Name *
Parent/Guardian Contact Name *
Parent/Guardian Contact Phone *
Parent/Guardian Contact Email *
Student Current Campus *
Student Incoming Grade *
Student Activity (Check all that apply) *
Required
Physical Date Preferred *
Time Preferred (Please select up to three and we will try to honor the request) *
Required
Physicians must have completed paperwork and payment prior to physical. Please write initials acknowledging your understanding of this.  *
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