Corunna Athletic Physicals
We are setting up physicals for all athletes for the following dates/times at our Cavalier Family Health Clinic. Physicals are free of charge for all Cavalier Family Health Clinic (located in the Corunna Olmsted Pool Building) members (children of employees) and $30 for all other students. We will have four dates available (all will be from 1 to 5 p.m. at the Cavalier Family Health Clinic): July 14, July 20, and July 21. Please fill out the form indicating which time-frame works best for you and your child(ren).

Please fill out this form for each of your children individually. We are limited to 24 "slots" on each day. Once we have the slots filled, we will be sending you another form verifying the time and other logistics.

Please be reminded that before an athlete can participate in any athletic sport/practice/competition in the 2022-2023 school year, a completed physical must be on file.
Sign in to Google to save your progress. Learn more
Email *
Child's name (first and last) *
I am a member of the Cavalier Family Health Clinic and have enrolled/submitted the subscriber application  with my child listed as a dependent. *
Child's grade (2022-2023 school year) *
Preferred date *
Required
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian Phone number *
Other comments/questions *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Corunna Public School District. Report Abuse