Clementon School District

ATHLETIC PARTICIPATION FORMS:

The athletic forms listed below must be completed in their entirity EACH YEAR in order for a student to participate in any sport at Clementon Elementary School.

If you are in need of health insurance, please visit the NJFamilyCare website for assistance.

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1. Preparticipation Health History Form:  English / Spanish

2. Preparticipation Physical Exam Form

3. Preparticipation Medical Eligibility Form

4. *Health History Update Questionnaire:  English / Spanish

*(Complete only if physical was done more than 90 days prior to the first day of official practice.)

5. Sudden Cardiac Death in Young Athletes Brochure:  English / Spanish

 a. Sudden Cardiac Death Sign-Off Sheet:  English / Spanish

6. Concussion & Head Injury Fact Sheet & Sign-Off Form

7. Opioid Use & Misuse Educational Fact Sheet:  English / Spanish

a. Use & Misuse Sign-Off Sheet:  English / Spanish

8.  Sports-Related Eye Injuries Fact Sheet:  English / Spanish

FREQUENTLY ASKED QUESTIONS