THCSD HEALTH HISTORY/ATHLETIC PERMISSION FORM
The health history portion below must be completed by a parent or guardian. Physicals expire after 1 year and each athlete must have a current physical on file with the school nurse in order to participate. Please submit a copy of the athlete's current physical to the school nurse (FAX 518-325-2858). If you have any questions, feel free to contact the Athletic Director, Angela Webster at 518-325-2896
Student's Last Name
Your answer
Student's First Name
Your answer
Grade
Student School ID #
Your answer
Date of Birth
MM
/
DD
/
YYYY
Sport
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