DiGITAL pHYSICAL fORM

All student-athletes MUST have a current physical on file at the school in order to be eligible to participate in our athletic programs. This includes an Insurance and Consent Form and a History Form completed by the guardian[s] and athlete, as well as a Physical Examination Form that must be completed by a doctor. Physicals are good for a calendar year from the examination date on the form. Without ALL forms being completed and turned in, athletes will not be permitted to participate in our athletic programs.

Please contact us if you have any questions or concerns in regards to the physical packet.

Print Full Packet:

Digital Physical

Full Physical Packet

Print Individual Forms:

Insurance and Consent form.pdf

Insurance and Consent Form

Insurance and Consent Form [Spanish Version]

History Forms

History Form

[Must be Completed by guardian[s] & athlete]

Physical Exam & Medical Eligibility Form

Physical Exam & Medical Eligibility Forms

[Must be completed by a doctor]

Voluntary Online Form (GA).pdf

School Offered Insurance

Student Athletes must have proof of insurance that includes the Company and Policy # to complete the physical packet. This is the Insurance Plan offered by Rome City Schools.

Voluntary Online Form-Spanish (GA).pdf

Coverage-Enrollment (GA).pdf

Coverage-Enrollment Spanish (GA).pdf

School Offered Insurance

Student Athletes must have proof of insurance that includes the Company and Policy # to complete the physical packet. This is the Insurance Plan offered by Rome City Schools.

Please do not have student-athletes' physicals faxed to Rome Middle School. We are having too many issues where these are being lost in transport. Athletes should hand a PAPER copy of their completed physical packet to their head coach. Physicals can also be brought and left in the front office with staff. Coaches and Office Staff will ensure that appropriate personnel receive it.

Thank you for your cooperation.

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