Haines Home  Mrs. Barbara Caruso Teacher Home
email phone ext. 8534   Nurse's Office Panther since '81
allergy letters &forms asthma medication sheet sports physicals sun, tick, & Lyme info disclaimer

 

 

SPORTS HISTORY AND PHYSICAL PAGE

If your child is going to participate in an interscholastic, intra mural or club sport, they must have a complete History and Physical done. The history and physical must be within 365 days of the start of the sport.  The State history and Physical form is the only on that can be accepted.  Please call 609-654-4056 Ext 8534 if you have any questions.
 
Letter of Explanation for Fall 07 Sports Physicals ~ Fall 07 Sports Physical Due Dates
   
State Health History and Physical Form (4 pages) ~ Parents fill out pages 1 and 2.

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Please have your physician completely and carefully fill out pages 3 and 4