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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