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Series 604.4.1AR - Medical Eligibility for Students Participating in Cocurricular Activities

Adopted: September 1977
Revised: July 2012

1.  Documentation for Participation - Any student in grades 7-12 who intends to participate in interscholastic athletics, danceline or cheerleading must have the following documents on file in his or her school office prior to the student’s participation:

1.1 A record of a physical examination (Minnesota State High School League Sports Qualifying Physical Examination Clearance Form) performed by a physician, nurse practitioner or physician’s assistant within the previous three years, and

1.2 One of the following annual health questionnaires signed by a parent or   guardian approving student participation in athletic activities:

1.2.1   Middle school students - District Procedure 604., Middle School Annual Sports Health Questionnaire, Participation Release and Fees, or

1.2.2   High school students - Minnesota State High School League (MSHSL) Annual Sports Health Questionnaire.

2.   Documentation to Resume Participation - After a student has major surgery, a serious illness or a serious injury, the attending physician must certify in writing the student's readiness to begin or resume participation in interscholastic athletics, danceline or cheerleading.