KHSAA Sports Physical Form

Athletic Participation/Physical Examination Form Parental and Student Consent and Release For Middle School Level (students enrolled in grades 5-8 participating in competition for grades 6-8)

KHSAA Form MS01 Middle School Parent Permission and Consent Rev. 7/23 page 1 of 4 © KHSAA, 2023

The student and parents/guardian must read this statement carefully and sign where required. By signing this form, all parties agree that they have accurately completed all sections of the form and have read and agree to the terms of this form as detailed. This form must be completed before the student participates (hereinafter including try out for, practice and/or compete) in interscholastic athletics. This form should be kept in a secure location until the student has exhausted eligibility, enrolled in high school and reached the age of sixteen (16).