NJ Department of Education
Athletic Pre-participation Physical Exam Form


Grades 5-8:

        
        **Notice to parents of student athletes: 
        To participate on a school-sponsored interscholastic or intramural athletic team or squad, each student whose
       
physical examination was completed more than 90 days prior to the first day of official practice shall provide a
        
health history update questionnaire (click here) completed and signed by the student’s parent or guardian.
 
         Sudden Cardiac Death In Young Athletes Pamphlet

         Pursuant to N.J.S.A. 18A:40-41(d), school districts must distribute the Sudden Cardiac Death In Young
         Athletes
pamphlet to each student-athlete and to the parents or guardians of the student-athletes, as part
         of the student’s pre-participation physical examination and completion of the athletic permission forms.
         A student-athlete and the parent or guardian of the student-athlete shall certify in writing that they received
         and reviewed the pamphlet. The Sudden Cardiac Death in Young Athletes Pamphlet can be found here
         and and the student athlete parent or guardian sign off sheet can be downloaded by clicking here.
 
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