Ellsworth Elementary Middle School

Physical Form

 Athletics:  All Ellsworth School Department CCA participants must have a physical examination by a licensed physician, at their own expense, prior to participating in interscholastic or intramural athletic activities. Student participants will be required to have a physical examination annually. The previous provision notwithstanding, additional physical examinations may be required, at parent or guardian expense, by the building administrator if the student’s coach, athletic director, or building administrator are concerned about the effect of continued participation on the student’s health, based on observation of the student in practice or competition. In the event of an injury which precludes participation in athletic activity, the student’s physician and parent must provide written approval before the student may resume participation