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Preparticipation Physical Evaluation HISTORY FORM DATE OF EXAM Name Sex Age Date of birth Grade School Sport(s) Address Phone Personal physician In case of emergency, contact Name Relationship Phone.

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How to fill out the Physical Form - Waverly School District 145 online

Completing the Physical Form for Waverly School District 145 is a crucial step for students participating in sports. This guide provides clear and detailed instructions to help you accurately fill out the form online.

Follow the steps to complete the form efficiently.

  1. Press the 'Get Form' button to acquire the Physical Form and open it in your editor.
  2. Begin by entering the date of the exam in the designated field at the top of the form. Ensure that all personal information, including name, sex, age, date of birth, grade, school, and sport(s), is correctly filled out.
  3. Provide your address and phone number accurately in the respective fields. This information is important for any necessary contact.
  4. List your personal physician’s name and ensure accuracy to maintain proper medical history.
  5. In case of emergency, fill in the contact person's name, relationship to the student, and their phone numbers for home and work.
  6. Respond to the set of yes/no questions honestly by circling your answers. If you answer 'yes' to any question, be prepared to explain those answers in the provided space.
  7. Complete the physical examination section, including height, weight, pulse, blood pressure, and vision details. These measurements should be recorded accurately.
  8. If applicable, check off any recommendations or notes from medical evaluations in the clearance form section. Use clear and concise language.
  9. Review the entire form for any errors or missing information before proceeding.
  10. Once you have completed and reviewed the form, save your changes, and download or print a copy for your records or to submit.

Complete your Physical Form online today to ensure a smooth participation process in school athletics.

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Waverly High School (Grades 9–12), Principal - Ashlee Hunt.

District Name: WAVERLY SCHOOL DISTRICT 145 schools for this districtNCES District ID: 3100021State District ID: NE-550145000Mailing Address: 14511 Heywood St Waverly, NE 68462-0426Physical Address: 14511 Heywood St Waverly, NE 68462-0426Phone: (402)786-2321Type: Regular local school districtStatus: OpenTotal Schools: 54 more rows

Waverly High School is a public school located in WAVERLY, NE. It has 675 students in grades 9-12 with a student-teacher ratio of 16 to 1.

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