A Note from the Nurse

~~~ A NOTE FROM THE NURSES ~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
PLEASE NOTE THAT THE NJ STATE DEPARTMENT OF EDUCATION
 FORMS
CAN BE FOUND UNDER "PRINTABLE FORMS".
 ONLY THESE FORMS WILL BE ACCEPTED.
PLEASE ALSO NOTE, THESE FORMS MUST BE COMPLETED IN FULL.
INCOMPLETE FORMS WILL BE RETURNED and
DELAY ATHLETIC CLEARANCE.
THANK YOU IN ADVANCE FOR YOUR COOPERATION.

AS OF JUNE 2020 FAMILIES MUST ENROLL AND SET UP FAMILY ID ACCOUNT FOR EACH ATHLETE, FRESHMAN AND TRANSFER STUDENTS

The athletic season for the 2020 - 2021 school year
 
 
Physical Examination Form (Physician completes) and 
History Form (Parent/Guardian completes) 
need to be scanned into FamilyID account prior to dates below
and will be reviewed by our School Physician prior to athletic clearance.
 
 Fall 2020
As of 6/2020 ALL ATHLETIC PAPERWORK & FORMS must be completed and submitted electronically through Family ID
( www.familyid.com ) 

 Fall Season Begins on Monday, August 10 - Football & Tennis
All other Fall Athletics will begin Monday, August 17

Please refer to the Athletic website for specific sport information
All Fall Sports
 Cheerleading, Cross Country, PVR Dance, Football, PVR Gymnastics, Boys Soccer, Girls Soccer, Girls Tennis, Volleyball
Athletic paperwork will need to be electronically submitted, reviewed by School Nurses and approved by our School Physician prior to athletic clearance.
Any paperwork submitted late may be subject to delay in participation.
Any incomplete forms will be returned, which will prolong your child's eligibility to participate.

PLEASE NOTE: The Physician who performs the physical must have completed the Student-Athlete Cardiac Screening PD module and sign the affirmation that it has been completed. 

All information must be provided (child's name/address; parent signature/date; physician signature/stamp/date of exam/eligibility to participate/specific limitations for participation).

ALSO, ALL PHYSICAL FINDINGS MUST BE DOCUMENTED: HEIGHT, WEIGHT, BLOOD PRESSURE, PULSE AND VISION.
Thank you in advance.
 
 
Physicals are valid for one year of exam date.  
Parental permission is valid (completely filled out, signed and dated) 
within 90 days of the beginning of each athletic season.  
Any parental permission forms received prior to this '90 day' will not be accepted.

What does this mean?  
Please electronically submit athletic form and questionnaire through Family ID (www.familyid.com) 
 
Please bring to our attention any changes in your child's health, including injuries.  

If your child is an incoming freshman OR transferring into
Pascack Hills -
A current physical and health history must be electronically submitted through Family ID (www.familyid.com) 
prior to Physical Education Participation.


ALL NECESSARY FORMS CAN BE PRINTED FROM 
'PRINTABLE FORMS'

Thank you in advance.  
Rose T. Welyczko, BSN, RN, Certified School Nurse, MA
Tara Wholey, RN
 
During summer months  ~~   we can be reached by email

rwelyczko@pascack.org 
twholey@pascack.org



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