Student'S Physical Form - Wenatchee High School Athletic Department, Washington

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Do   N ot   B end  
 
 
 
 
 
 
 
 
 
WHS   2 /13  
 
 
 
 
 
 
 
GENERAL   I NFORMATION  
 
 
STUDENT’S   N AME   _ ___________________________________________________________________________________  
       
 
 
(Last   N ame)  
 
(First   N ame)  
 
(Middle   I nitial)  
 
PARENT/GUARDIAN     _ _______________________________________________________________________________  
       
 
 
 
(Last   N ame)  
 
(First   N ame)  
 
PARENT/GUARDIAN   _ ________________________________________________________________________________  
(Last   N ame)  
 
(First   N ame)  
 
HOME   A DDRESS   _ _______________________________________________   C ITY   _ _______________________________  
 
AGE   _ _____________________  GRADE   _ _________________  
 
ANSWER   A LL   O F   T HE   F OLLOWING   Q UESTIONS   W ITH   Y ES   O R   N O:  
_________  
Are   y ou   c urrently   l iving   w ith   y our   p arent(s)?  
_________  
If   n o,   a re   y ou   l iving   w ith   y our   l egal   g uardian?  
_________  
Are   y ou   c urrently   l iving   w ithin   t he   W enatchee   S chool   D istrict   b oundaries?  
_________  
Are   y ou   n ow   o r   h ave   y ou   e ver   b een   a   f oreign   e xchange   s tudent?  
_________  
If   y es,   h ave   y ou   g raduated   f rom   y our   e quivalent   s chool?  
_________  
Were   y ou   a   t ransfer   s tudent   l ast   y ear?    
If   y es,   w hat   w as   t he   d ate   o f   y our   e ntrance   t o   t he   W enatchee   S chool   D istrict?     _ ____/______/________  
 
 
 
 
 
 
 
 
 
 
        m o/day/year  
Do   y ou   a ttend:  
_______     Westside   H igh   S chool  
 
 
_______   Skill   S ource  
 
 
_______   Skills   C enter  
 
 
_______   Running   S tart  
 
 
_______   Home   S chool   /   R iver   A cademy  
 
 
_______   Private   S chool    
Private   S chool   N ame   _ _______________________________  
 
If   y ou   D ID   N OT   a ttend   W enatchee   S chools   l ast   y ear,   w hat   s chool   d id   y ou   a ttend:  
 
Name   o f   S chool   _ ________________________________________________  
 
_____________________________________  
 
 
 
 
 
 
 
 
(Date   W ithdrew)  
Location   o f   S chool   _ ____________________________________________  
 
______________________________  
 
 
       
(City)    
 
 
 
(State)  
 
-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐  
Office   U se:  
 
 
 
FALL  
 
 
WINTER  
 
SPRING    
 
ALL   Y EAR  
 
ASB   _ ______    
FB  
_______    
BBB  
_______    
TR  
_______    
SC  
_______  
 
 
 
VB  
_______    
GBB  
_______    
BA  
_______    
CH  
_______  
 
 
 
GSO  
_______    
WR  
_______    
FP  
_______    
AP  
_______  
 
 
 
GSW  
_______    
BSW  
_______    
GO  
_______  
 
 
 
XC  
_______    
GBO  
_______    
TN  
_______  
 
 
 
 
 
 
 
 
 
BSO  
_______  
 

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