Moffat County High School Athletic Registration
Physical Examination
Students registering for athletics must have a current physical examination on file in the
athletic department before the student is authorized to participate in practice/tryouts. To ensure
clearance for participation, physicals should be completed and turned in to the Athletic Director
no later than 5 school days prior to the first day of practice/tryouts. Physicals are valid for one (1)
calendar year from the physical date/Doctor signature. Ex: Physical Date of November 12th
2016 is only valid until November 12th 2017.
(Forms can be found on our Website)
You must turn in your physical form to the athletic office at 900 Finley Lane in Craig, CO.
Email address *
Medical Insurance Name and Policy Number *
Dental Insurance and Policy Number *
Have you purchased Student Accident Insurance? *
Which activities would you like this student to participate in? *
Required
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This form was created inside of Moffat County School District RE:1.