This form needs to be completed beginning August 1st and not before. All Middle School student athletes must fill out this annual form and submit a current physical to the Health Office directly or fax it to (207) 739-2042. Before starting this form please have your emergency contact information, medical history, and insurance information ready. If you need to purchase insurance the district offers athletic related insurance plans at www.1stAgency.com.  or the following: Go to:  www.aliverisk.com/StudentAccidentEnrollment  
Select Maine School Management Association
If you have any questions/concerns, please email Middle School nurse at k.bell@msad17.org, or the Athletic Director at k.ryan@msad17.org.