Student Athlete Clearance Form

Student Athlete Clearance Form — Form Fields

This education template includes 9 fields. Clear student athletes for sports participation. Collects academic standing, physical exam status, insurance information, and parent consent. Free to customize and use on ZenBuild.

• Student Name (text, required)
• Grade Level (text, required)
• Sport (dropdown selection, required) — options: Basketball, Football, Soccer, Track & Field, Swimming, Baseball / Softball, Volleyball, Tennis, Cross Country, Other
• Has the student completed a physical exam within the last 12 months? (multiple choice, required) — options: Yes, No
• Does the student currently maintain a minimum 2.0 GPA? (multiple choice, required) — options: Yes, No
• Insurance Provider & Policy Number (text, required)
• Parent / Guardian Name (text, required)
• Parent / Guardian Phone (text, required)
• Upload Physical Exam Form (file upload, optional)