2019 WHS Sports Physical Exams- Prepaid Sign Ups

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Dear Parents and Student-Athletes,
Walnut High School's Sports Medicine Program will be hosting the 10th Annual Sports Physical Exams!

Date: Friday, May 17th, 2019
Time: 2:00 PM-5:30 PM
Location: Walnut High School Gymnasium

Prepaid appointments begin at 2:00 PM.
Walk-ins accepted after 3:30 PM.

Email *

THIS FORM IS TO SIGN UP FOR A PREPAID APPOINTMENT. THIS FORM DOES NOT GUARANTEE OR SECURE YOUR APPOINTMENT. UPON COMPLETION OF THIS FORM, YOU MUST SUBMIT A PAYMENT OF $25 (CASH OR CHECK) TO FAITH VILLANUEVA (ATHLETIC TRAINER) TO SECURE AN APPOINTMENT SLOT. FIRST COME, FIRST SERVE BASIS.

I understand that I will have to submit a $25 cash or check payment to Faith Villanueva before or by May 15th to secure a prepaid appointment. *

I understand

Required

I understand that if I DO NOT submit a payment before or by May 15th, then my appointment will not be secured and I will have to go as a walk-in. *

I understand

Required

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