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Intramural Weightroom Program 2017-18 (WEIGHT ROOM ONLY)

Registration Deadline 06/01/2018
Payment Deadline 06/01/2018

Participation Information, Registration & Forms


Due to State regulations, physicals must be conducted at the medical home of the student and a report sent to the school on our district form. The physical must have been completed within one year of the start of practice. All Physicals dated after 5/14/2015 must have a physician's signature attesting that he/she completed the cardiac module. Please check the calendar for the start of practice for the sport your child wishes to participate and make sure the physical has taken place within the past year. If your child uses an inhaler, you and the doctor must complete the Self Administration of Medication Form and the Asthma Action Plan before the first practice.

Note: Any student who does not have a medical home, please contact the Athletic Office.


Registration for all athletic participation can now be completed online! Registration will begin 60 days prior to the start of practice. All students must register for athletics and intramurals online.

Heath History and Physical Forms

Please compete and submit the Health History and Physical Forms to the school nurse (during the school year) and the Athletic Office (during the summer) as soon as possible. All physicals must be complete 365 days prior to the first practice.

Basic Forms

• Health History and Physical Forms (4 pages)

➢ Please note the following must be complete before your student may participate an Eastern Athletic program.

• Online Registration is completed

• Health History and Physical Forms (4 pages) are on file with the school nurse dated within 365 days prior the first practice

• Any Extra Forms that are need are completed and on file with the school nurse

• The student is academically eligible for participation.

Extra Forms

Attention Diabetic and Asthmatic Athletes: Athletes with diabetes are advised to bring in extra snacks to be kept in the athletic trainer's office during sports participation to serve as a backup to the athlete's personal supplies. Asthmatics must have their rescue inhaler present on the field, court, etc. for all games and practices.

• Asthma Action Plan and Asthma Self Administration Form For any athletes with Asthma, the Asthma Action Plan Asthma Self Administration Form is to be completed by both the parent/guardian, the student, and signed by the physician.

• Epinephrine Release Form For athletes requiring the use of Epinephrine, the Epinephrine Release Form is to be completed by both the parent/guardian and the student in the presence of a notary public. Note: This form must be notarized.

Online registration for this program is currently closed/unavailable. Please contact Eastern Regional High School for further information.