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Pre-participation Sport Physical Forms (pdf)

Welcome to The Evergreen State College Athletics Program!

Please fill out the enclosed forms listed below:
1. Patient's Personal Information and Health History Form
2. Insurance and Emergency Informationllnformed Consent Form
3. Assumption of Risk, Release of Liability, Indemnification and Publicity Release
4. Physician Exam Clearance Form (This exam must be done after June 1)

These items must be complete before final clearance. If any forms are missing, it may take up to three days to clear your physical. Make sure to sign all spaces needing a signature!!!!!!

If you have any questions concerning the physical forms, contact the TESC Head Athletic Trainer at (360) 867-6587 or your sports coaching staff.

Upon completion, these forms must be returned to:
Head Athletic Trainer
College Recreation Center 122
The Evergreen State College
2700 Evergreen Parkway NW
Olympia, WA 98505