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    ALL students must registered online 

    https://hello.familyid.com

     

    Per the State of New Jersey and the Scholastic Student-Athlete Safety Act
    With the passage of the Scholastic Student-Athlete Safety Act, New Jersey has set the standard by requiring that thorough evaluation be conducted for the silent cardiac abnormalities that may lead to the sudden death of a student-athlete. The below requirements are mandated by the state of New Jersey without exception to participate in athletics for the 2020-2021 school year.

    Requirements for Participation in Athletics
    A student-athlete would be eligible for participation in athletics ONLY IF they meet ALL of the following criteria:

    1. Parent/Guardian and student-athlete must complete the FamilyID registration form and submit to Lacey Township Athletics by the registration deadline.
    2. Preparticipation Physical Exam Form (page 3 of this documentmust be printed and submitted to the school after it is completed by a health care provider who:
      • is a licensed physician, advanced practice nurse or physician assistant; and
      • completed the Student-Athlete Cardiac Assessment Professional Development Module
      • The school Doctor still has to review and sign-off on your physical once the form is handed in
    3. Health History Update Questionnaire (click heremust be printed and submitted to the school after it is completed by a health care provider who:
      • is a licensed physician, advanced practice nurse or physician assistant; and
      • completed the Student-Athlete Cardiac Assessment Professional Development Module

    *Please note that either #2 or #3 is mandatory for medical clearance and athletic participation, depending when the student/athlete's last full yearly physical was completed.

    Because the Preparticipation Physical Exam Form and the Health History Update Questionnaire (pages 3 & 4) require the signature of a health care provider, you must print these pages and then submit them to the school to be approved by the board-approved school doctor.

    NJ State Sports Physical Forms:
    http://www.state.nj.us/education/students/safety/health/records/athleticphysicalsform.pdf

    • The first 2 pages will be filled out by the parent/guardian. 
    • The last 2 pages are to be filled out by the medical provider and stamped. Provider must have completed the Cardiac Assessment Professional Development Module to complete the sports physical.
    • The school physicain will need to sign off on all physicals before a student may participate. 

    Please return all forms back to the health office. 

     

    Health History UPDATE QUESTIONNAIRE:
    To participate on a school-sponsored interscholastic or intramural athletic team or squad, a health history update questionnaire completed and signed by the student’s parent or guardian. This form needs to be submited prior to the first day of official practice. 

    Please click here for the most up to date Health History Update Questionnaire.