Deadline for Spring Season forms is 2/16/17
School Nurse's Note: The Physical Exam Form is valid for one year from date of exam.
NEW TO THIS FORM: COMPLETED DOCTOR'S CARDIAC ASSESSMENT PROFESSIONAL DEVELOPMENT MODULE - Your child's Pediatrician will need to sign that he/she has completed this module. We are asking for a copy of this certificate during this transition period.
To insure that your child is not held out from participation in winter sport, all forms must be received/submitted as listed above for processing. All forms except the physical and health history (parent permission) are to be submitted using the Genesis Parent Portal. Physical and parent permission forms are to be turned in to the school nurse by the deadline.
Medical Forms to be printed and turned in to School Nurse:
Forms to file on-line using Genesis:
*These forms will be activated by 7/15/16.
In order to participate in athletics the state requires students to submit complete physical forms and permission (health/history) forms. The required forms may be accessed below. Form A is the health/history form. It should be completed by a parent/guardian. Form B is the physical form. It must be completed by a physician. All forms must be submitted to the school nurse complete. Incomplete forms will not be accepted. Any incomplete forms will be returned to you - at the expense of your child's athletic participation. This also applies to 9th grade and transfer students in regard to physical education eligibility. Computer printouts will be accepted only for immunization records. Should your physician question this, please refer to State Code 6A:16-2.2, specifically, h1-6.
The Pascack Valley Regional District requires all athletes (and parents/guardians) to sign a sportsmanship, substance abuse and tobacco contract policy form. Athletes are not permitted to participate without both the athlete and parent signing-off in Genesis.
The NJSIAA has passed legislation requiring all student/athletes and their parents/guardians to sign a "steroid testing permission slip." The link for the permission slip is listed below as is the NJSIAA list of banned substances. Failure to sign the form will render the student athlete to be ineligible for competition.