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Required Forms
Summer/Fall 2017 Screening Event Presented By:
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**NOTE**

MUST SCHEDULE AN APPOINTMENT!

Required Screening Forms

 

All Forms Below Must be Downloaded and Completed Before You Arrive to Your Scheduled Screening Time!

Screening Event - Saturday July16th, 2016

Note: If your child is getting a sports physical to partcipate in a Clark County School District Sanctioned Sport, You Must Get an Athletic Packet from Your School as they Require Their Own PPE Forms. You May Also Download One Below but You Will Still be Responsible to Pay Any Packet Fee(s) to the School...

 

Consent, Release, Waiver Form  (MUST BE COMPLETED and SIGNED by PARENT)

PPE Forms (for Non-CCSD Sanctioned Sports Activity Only | HISTORY SECTION MUST BE COMPLETED PRIOR TO ARRIVAL!) or

PPE Forms (for CCSD Sanctioned Sports Activity Only) - Please obtain from your school - Please only Bring the Medical Portion (NIAA Form A, B & C / Pages 9-13) with You!

 

All Forms are in PDF Format... Get the Free Adobe PDF Viewer Here: http://get.adobe.com/reader/

 

 

Read 2452 times Last modified on Wednesday, 13 July 2016 08:28

Program Stats

Physicals/Heart Screens Given 0 2 0 1
Baseline Concussion Tests Given 0 0 0 0
Coach/Team Moms CPR/AED Certified 0 0 0 7
Kids Trained in Hands-Only CPR 0 0 5 6
Available A.E.D. Loaners 0 0 0 1
Assisted Registrations 0 0 0 8
Free Sports Clinics Held 0 0 0 4
         

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What's Being Said?

Tonia Hall
2015-07-27, 16:16
I had a blast.. Can't wait to do it again! (Game-Saver Event)