22-23 WINTER Sports Physical Appointment Request
We strongly encourage all student-athletes to have their sports physicals administered by their family doctors if possible, therefore, opening up appointment slots for those student-athletes who may not be able to get an appointment before the start of the WINTER season.

Please complete the following form if you would like an appointment for the OCTOBER 12TH or NOVEMBER 16 WINTER Sports Physicals being offered at Moorestown High School.  After you complete the form, an appointment time will be sent to you.  Physicals will take place at WAMS from 730am - 830am and Moorestown High School from 8:30am - 9:30am.  If there is an issue with your appointment time, please contact the Athletic Director, Shawn Counard (scounard@mtps.us).  

Students will report directly to their nurse's office.
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Email *
Sports Physical Date *
Student First Name *
Student Last Name *
Student MTPS Email (check spelling) *
22-23 Grade *
Prospective WINTER Sport *
Parent Guardian Name *
Parent/Guardian Email (check spelling) *
Parent/Guardian Cell Phone Number *
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