Policy No: 4057

It is the policy of the NCSIG that medical exams are required prior to participation* for athletic participants (including cheerleaders) of any school sports team.** (High school student athletes are already required to have pre-participation physicals.  All student athletes will be required to have pre-participation physicals starting the 2015/16 school year).

The districts shall distribute the Pre-participation Physical Evaluation JPA form #24, pages 1, 2 and 3. The districts shall accept the Pre-participation Physical Evaluation forms, JPA form #24, (either pages 1 and 2 or page 3, or the Child Health and Disability Prevention (CHDP) Program Pre-participation Physical Evaluation History form (both pages). The following medical examiners can sign the forms: Doctor of Medicine M.D., Doctor of Osteopathic Medicine D.O., Naturopathic Doctor N.D., Nurse Practitioner N.P., or Physician’s Assistant P.A. 

Team managers, trainers, and other non-athletic field participants are exempt.

Medical exams are valid for twelve months from the date of the exam.

*Participation includes:  tryouts (except cheerleading tryouts that only have standing cheers), practice and competitive play.

**School sports team – represents the school and competes against other schools or outside organizations.

Adopted: Jan. 17, 1996

Updated: March 16, 2016

Workers Compensation No

Property & Liability Yes