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Athletic Clearance

Is your son or daughter interested in playing sports at Providence High School?
Per CIF regulations, PRIOR to athletic participation in tryouts, practices, or games of any sport, an individual must have an Annual Pre Participation Physical Exam (PPE) on file at his/her school. In conjunction with this requirement, Providence High School Policy states that all student-athletes must submit their completed physical prior to participation in any school-sponsored summer camp or summer athletic competition.

Clearance Documentation Submission Process
This year, in order to expedite the athletics clearance process we are implementing a new online clearance software process through FormStack. Completed physicals will be uploaded through FormStack. Please click the button below and complete the online documentations necessary for sports participation.

Pre-Participation Physical Form (Required)

See our attached required physical form in fillable PDF format at the bottom of this page for your convenience.

The first page of this form (HISTORY) should be completed by a parent or guardian either in fillable PDF format or blue or black ink only (no pencil please).Please make note of the grade that your child will be going into in the new school year(not their current grade) Please make sure to read the instructions on the form carefully and that you and your child sign and date where appropriate.

Please make sure that for every "YES" answer checked that you give an explanation including month and year as well as the related explanation including side of the body (left or right) as well as body part on the lines at the bottom right-hand corner of the page (ie; if you checked "YES" for question #9 you should write or type: "#9 "March/2015 fractured left arm"

Please remember to either type these responses or make sure they are legible. If you need more space you can use the back of the form or another sheet of paper attached

PAGE 2 & 3
The last two pages must be completed by a medical doctor (MD or DO only) or a FNP (Nurse practitioner). Per our school policy, immediate family members (mom, dad, aunt, uncle or grandparents) may not perform students physicals. Forms must also have physicians signature, date, and stamp.

Once your child has completed their physical exam please upload a picture of the physical through FormStack and keep the original for your own record.

Documents & Forms

For questions or concerns about Athletic Training or Clearance, please contact

Brandon Lincoln

Athletic Director & Boys Basketball | Varsity Head Coach