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June 7th - 2023 Sports Physical Night

 

Click HERE to download the medical form

Please print and complete

FILL OUT ALL OF PAGES 1,2 AND 3

FILL OUT ALL HIGHLIGHTED AREAS

PARENT AND STUDENT SIGNATURES REQUIRED WHERE STATED

(SHOULD HAVE 3 FROM PARENT AND 2 FROM ATHLETE)

PAGE 3 YOU CAN DRAW A LINE THROUGH THE

“NO” SECTION IF NONE APPLY

DATE DOCUMENTS FOR JUNE 7TH,2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Click HERE to download the medical form.

Please print and complete (see instructions below)

 

 

FILL OUT ALL OF PAGES 1,2 AND 3

 

FILL OUT ALL HIGHLIGHTED AREAS

PARENT AND STUDENT SIGNATURES REQUIRED WHERE STATED

(SHOULD HAVE 3 FROM PARENT AND 2 FROM ATHLETE)

 

PAGE 3 YOU CAN DRAW A LINE THROUGH THE

“NO” SECTION IF NONE APPLY

 

DATE ALL DOCUMENTS FOR JUNE 7TH,2023

 

 

 

 

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Perkins County SchoolsJH/HS:  740 Sherman Ave.,  Grant,  NE  69140308-352-4735

Elementary School:  419 Logan Ave.,  Grant,  NE  69140308-352-4313

This institution is an equal opportunity provider.

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