ATHLETIC TRAINING
HEALTH INSURANCE REQUIREMENT CLARIFICATION (2 pages)
All student-athletes must have
the Acknowledgement of Insurance Requirement form
signed by a parent or guardian.
EMERGENCY CONTACT
INFORMATION
Must be filled out by all athletes.
INSURANCE
INFORMATION
Must be filled out by all athletes and accompanied by a
copy (front and back) of the health insurance card.
MEDICAL HISTORY: FIRST YEAR ATHLETES (4 pages)
Must be completed by first-year athletes (includes transfers).
MEDICAL HISTORY:
RETURNING ATHLETES (3 pages)
To be filled out ONLY by returning athletes.
CHECK OFF SHEET: FIRST YEAR ATHLETES
For your convience and information, does not need to be returned.
CHECK OFF SHEET: RETURNING ATHLETES
For your convience and information, does not need to be returned.
FAX Number: (410) 337-6576