• NJ Department of Education
    Athletic Pre-participation Physical Exam Form


    Grades 5-8:

            
            **Notice to parents of student athletes: 
            To participate on a school-sponsored interscholastic or intramural athletic team or squad, each student whose
           
    physical examination was completed more than 90 days prior to the first day of official practice shall
            provide a 
    health history update questionnaire (click here) completed and signed by the student’s parent
            or guardian.
     
             Sudden Cardiac Death In Young Athletes Pamphlet

             Pursuant to N.J.S.A. 18A:40-41(d), school districts must distribute the Sudden Cardiac Death In
             Young Athletes
    pamphlet to each student-athlete and to the parents or guardians of the student-
             athletes, as part of the student’s pre-participation physical examination and completion of the
                athletic permission forms.  A student-athlete and the parent or guardian of the student-athlete
             shall certify in writing that they received and reviewed the pamphlet.  The Sudden Cardiac Death
             in Young Athletes Pamphlet can be found here
    , and and the student athlete parent or guardian sign
             off sheet can be downloaded by clicking here.