Athletic Forms

All students who are interested in participating in sports/intra-murals at Holdrum Middle School must fill out the forms below.
 
Physical Exam form for Holdrum students:        
Must be completed for participation in sports/intra-murals
                   -History Form (page 1) is to be filled out and signed by the parent/guardian
                  -Supplemental History Form (page 2) is to be filled out and signed by the
                    parent/guardian, only if it applies to the student
                  -Physical Examination Form (page 3) is to be completed and signed by the physician
                  -Clearance Form (page 4) is to be completed and signed by the physician
 
If a physical is more than 90 days old, the Health History Update Form must be completed and signed by a parent or guardian. 
 
 
This form is to be completed and signed by the parent/guardian and student only after reviewing the following documents:
        Concussion-Head Injury Fact Sheet
        Cardiac Pamphlet       
 
 
This form must be completed and signed by the student prior to participating in any HMS Athletics. 
 
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