In order to be cleared for participation, the section below should be filled out and signed by a physician. Alternatively, you may provide a copy of a physical, dated within the last 12 months, that has been signed by a physician.
DOCTOR’S PERMISSION: (WE WILL NOT ACCEPT ANY SCHOOL PHYSICALS OR DOCTOR’S NOTES THAT WERE COMPLETED OR SIGNED PRIOR TO 2016).
This will certify that _________________________ is physically able to participate in the Track & Field Camp and that I know of no physical impairments which would in any manner limit his or her participation in such Track & Field camp.
PHYSICIAN'S SIGNATURE: ______________________________________________________________________________________________
DATE: _____________________________________________________________________________________________________________________
THE CAMPER IS ALLERGIC TO WHAT MEDICATIONS:
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
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