DIAA Athletic Physical and Consent Forms

Submit this form to your school's athletic office or designated health department. You can also fax it to the school at [Insert fax number] or email it to [Insert email address]. Ensure that submitted forms are sent before the April 1 deadline for maximum compliance and athlete safety.

For the year 2024, all physical examination forms must be completed after April 1st to ensure compliance. The clearance to participate is valid through June 30 of the subsequent school year. Re-examinations may be required based on physician guidance.

The purpose of this form is to ensure that all student-athletes receive the necessary medical evaluation and consent prior to participating in sports. It serves as a comprehensive record of an athlete's health history and any medical concerns that may affect their participation. This document not only protects the health and safety of student-athletes but also establishes informed consent from parents or guardians concerning their child's participation in athletics.

• 1. Name of Athlete: This field collects the full name of the student-athlete.
• 2. Date of Birth: This is the athlete's date of birth for age verification purposes.
• 3. School: This field records the school the athlete attends.
• 4. Parent/Guardian Name: Name of the parent or guardian providing consent.
• 5. Parent Signature: Signature of the parent or guardian indicating consent.

If the submission of this form is not completed, the student-athlete may be ineligible to participate in athletic activities. This may lead to delays in participation and could affect their ability to join their team. It is crucial to submit the completed form on time to avoid these issues.

• Ineligibility to Participate: Failure to submit the form results in the student being ineligible for sports activities.
• Delays in Team Participation: Incomplete submission may delay the athlete's start with their team.
• Medical Risks: Not having a current physical may expose the athlete to unassessed health risks.

• 1. New Participation: Use this form for any student-athlete participating for the first time.
• 2. Annual Updates: Required to be filled out annually for returning participants.
• 3. Medical Record Maintenance: Essential to maintain continuity in medical records for athletes.