Download Physical Forms
The following information will need to be filled out completely and returned to the Athletic Training Department by July 25, 2008 (Please Note: Do not fill out and send any forms and/or insurance cards until after June 23, 2008). If you are having difficulty obtaining the forms please feel free to e-mail or call Jon Mitchell, MA ATC at (704) 406-3912 or jmitchell@gardner-webb.edu.
You can download the forms by simply clicking the name of the form. All forms are in PDF format.
***Please Note: We are currently reviewing our insurance plans and may be changing insurance carriers between June 23, 2008 and July 25, 2008. If a change is made, all student-athletes may be required to fill out additional paper-work. Gardner-Webb University Athletics Department is currently reviewing athletic department policy for insurance coverage. All student-athletes are strongly encouraged to have primary insurance that covers athletics participation. In the near future this may become a requirement for participation.
All Participants in Athletics at Gardner-Webb University
Includes: Freshmen, Sophomores, Juniors, Seniors, and
Transfers
1. Vice President for Athletics Insurance Letter
(please open and review)
2. Acknowledgment of Insurance Statement
3. Parent Information Form
4. Hospital Emergency Information
Note: All student-athletes are required
to submit a photocopy (front & back) of their health insurance card.
First Year Participants
in Athletics at Gardner-Webb University
Includes: Freshmen and Transfers
1. Director of Athletic Training Letter
(please open and review)
2. Medical History
3. Female Pregnancy Statement (female
athletes only)
4. Substance Abuse Education and Testing Policy
(please open and review)
5. Substance Abuse Education and Testing Policy - Appendix A
6. Consent to Participate/Medical Consent
7. Helmet Warning (football only)
8. Concussion Screening Recover Scale
9. HIPPA
10.
Nutritional Supplement Disclosure
11.
Prescription Medication Disclosure
Second, Third,
Fourth, and Fifth Year Participants in Athletics at Gardner-Webb University
Includes: Sophomores, Juniors, Seniors, and Fifth-Year
Seniors
1.
Director
of Athletic Training Letter (please open and review)
2. Medical History Update
3.
Substance Abuse Education and Testing Policy
(please open and review)
4. Substance Abuse Education and Testing Policy - Appendix A
5. HIPPA
6. Nutritional Supplement Disclosure
7. Prescription Medication Disclosure
Jon T. Mitchell,
MA ATC-L
Service Program Director
Gardner-Webb University
PO Box 877
Boiling Springs, NC 28017
Gardner-Webb University;
Boiling Springs, North Carolina 28017 USA (704) 406-4000
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