Preferred PPE Appointment 2022

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Thank you for participating in the FCPS Athletic Training Program Pre-Participation Screenings. Physicals cost $50 when the student registers in advance. Please complete the form below, indicating the school and time at which you'd PREFER your child to receive his/her physical.

Preferred times are NOT guaranteed- your selected appointment time will be confirmed by the host athletic trainer. All appointments are in the afternoon or evening.

Student First Name *

Student Last Name *

Student gender *

Student grade in 2022-23 *

School student will attend in 2022-23 *

School where you'll complete your physical (Note: if the school is not listed, all appointment times are full) *

Parent First Name *

Parent Last Name *

Parent Email *

Providing a valid email address will help ensure confirmation of your appointment. If you don't have an email address, please enter your phone number.

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