Sports Physical Packet Info

HC-athletic-participation-checklist1  (Print out and Turn in to Athletic office along with EL2 and EL3 forms)

2020-21 Athletic Physical (EL2)  & Consent (EL3) Forms (Please be sure to print/sign and date the highlighted areas)

  • Here is a listing of available medical professionals/facilities that are providing $25 sports physicals for student athletes of Polk County $25 Sports Physicals or you may use your primary physican if you choose.

Mandatory Completion of Video/Courses Before Clearance: 

Here are the links to the 3 online video/courses all student-athletes must view prior in order to be cleared to participate.  Once completing the video/courses, a certificate will be emailed to you and you can just print out and turn in with the rest of your completed physical. If you are not able to print, you can just email the certificates to the coach of the sport you are trying to play and that coach can print them out for you and they will return them to you so that you can turn in with the rest of your paperwork. Remember the certificate must be turned in to athletic office with the physical packet.

Concussions                      http://pathways.polk-fl.net/course/view.php?id=2824

Heat Related Issues        http://pathways.polk-fl.net/course/view.php?id=2825

Sudden Cardiac Arrest   http://pathways.polk-fl.net/course/view.php?id=2823

 

Athletic Clearance

Pre-Participation Physical Examination – EL2

A student must have a physical evaluation each year and be certified as being physically fit to participate in interscholastic athletic programs prior to participating in interscholastic athletic competition or engaging in any practice, tryout, workout, or other physical activity associated with the student’s candidacy for an interscholastic team.  Physical exams for the upcoming school year can be obtained no earlier than June 1.  All physical exams obtained on June 1 or at any time during the school year will expire on May 31, regardless of the date of the physical exam.  The student cannot be allowed to participate in any activity related to interscholastic athletic programs until the fully executed physical evaluation form is on file in the school (§ 1002.20(17)(b), F.S.).

Consent & Release – EL3

Student must provide school with signed consent and release form to participate. A student must have the consent of his/her parent(s) or legal guardian(s) to participate in interscholastic athletic programs at a member school prior to participating in interscholastic athletic competition or engaging in any practice, tryout, workout, or other physical activity associated with the student’s candidacy for an interscholastic team. The student and his/her parent(s) or legal guardian(s) must also release the FHSAA, its member schools and contest officials from all liability for any injury or claim that may result from the student’s participation in interscholastic athletics. This consent and release from liability must be provided in writing on a form developed by this Association for that purpose. The form must be signed by the student and his/her parent(s) or legal guardian(s). The student cannot be allowed to participate in any activity related to interscholastic athletic programs until the fully executed consent form is on file in the school.
 
Parents should contact the school athletic director to determine if special arrangements have been made for athletic physical exams by local physicians or medical facilities before making an appointment with their family physician.

These forms are required by the FHSAA before a student-athlete can participate in any type of conditioning, workout, practices or contests and are ALSO AVAILABLE IN THE ATHLETIC DEPARTMENT OFFICE. These forms must be turned in directly to the athletic director. These forms contain additional statements that are specific to Polk County Public Schools and require the signatures of the parent/guardian and student-athlete.
For that reason, please do not download the EL2, EL3 forms from the FHSAA website. WE HAVE THEM HERE.



***** Forms that are also needed for Home School Students or Non-Traditional Students 

Home School Students 
(along with HC Participation, EL2 and EL3 forms) You WILL Also Need the following forms:
  • EL7       (Registration Form for Home Education Student to Participate in Athletics at Member Schools)
  • EL7v     (Verification of Student Registration with Public School District Home Education Office)
  • EL9       (Home Education Student Academic Progress Report)
  • GA4      (Affidavit of Compliance with FHSAA Policy on Athletic Recruiting)
Non Traditional Students: 
(along with HC Participation, EL2 and EL3 forms) You WILL Also Need the following forms:
  • EL12   (Registration/Guidelines for Student Attending a Non-Member Private School to Participate at the Zoned Public School)
  • EL12v  (Non-Member Private School Verification Form)
  • GA4    (Affidavit of Compliance with FHSAA Policy on Athletic Recruiting)