Physical- A current physical (within 395* days) must be on file with the school nurse before an athlete will be allowed to tryout or practice.

Information Collected

To complete this form, you will need to provide some medical information (date of last physical, insurance company's name, family doctor information, allergy information) as well as contact information for the Athlete and their family. You may want to have this information ready as you complete this form.

This information will not be shared with other athletes, students, parents, or anyone outside of District 201 Athletics.

Documents to Review

There will be several documents that you will need to review as you complete this form. Each of those documents can be accessed within the section of this form that it applies to. Here is a complete list of those documents if you would like to read/print in advance of completing this Registration:

Athletic Physical Form
https://drive.google.com/file/d/1--Jn7mUrckUULO0YwUDeNtvyuGcGnLJG/view?usp=sharing

Athletic Code of Conduct
https://drive.google.com/file/d/0BzhiucCafVxjRmZpRENudUpQT0U/view?usp=sharing&resourcekey=0-0tWlTTJOnCplhk60r9wxog

Athletic Trainer Consent for Treatment
https://drive.google.com/file/d/1O1v2oXqyv30WM8OeYmDaNuUZmRskw-px/view?usp=sharing

Concussion Information Sheet
https://drive.google.com/file/d/1-8x0rB1hHL3K0W6jw0dU3STWvxaWwZCu/view?usp=sharing

IHSA Eligibility Rules
https://drive.google.com/file/d/1-9KQB-DtuFe1Ltslx2NPYpYlNHtRxov1/view?usp=sharing

IHSA Performance Enhancing Substance Policy
https://drive.google.com/file/d/1KVp8-0v4P3EtNFDlXbLYESxbDB02o6Z7/view?usp=sharing

Banned Substance Classes
https://drive.google.com/file/d/1-GVYCFod132t2fNN_97Fmscs1GuHC0_F/view?usp=sharing

Definitions

In this form:
"Athlete" will represent your son or daughter

"I" and "Parent/Guardian" will represent the legal guardian of the Athlete

Signatures in this Form

*By typing your name (Parent/Guardian & Student) in this registration, you signify that your electronic signature represents the person named and acknowledges a full understanding & acceptance of the athletic rules and agreement.

Residency

*By providing your address, you are confirming that the student-athlete and the parent(s)/court-appointed legal guardian reside full time in the attendance boundaries of Belleville High School District 201.