PRE-PARTICIPATION FORMS

Please note that all new student-athletes/transfers at Dean College must have a completed physical prior to participate (practice, compete) in any intercollegiate sport.  Physicals must be dated on or after May 1, 2016 to be considered a current physical.  All returning student-athletes are required to complete the annual medical history update form prior to the first practice.

Forms that must be completed by 1ST YEAR PARTICIPANTS and TRANSFER Student-Athletes prior to the first practice:

Forms that must be completed by RETURNING Student-Athletes prior to first practice:

*These forms must be printed out and sent in either by e-mail (jjackson@dean.edu) or sent to athletic office (attn:compliance office)

Please read directions below regarding the forms prior to completion.

Sports Information Form (All Student-Athletes)

The Sports Information Form provides the college sports information office necessary information for rosters, hometown releases, etc.  This form must be completed and submitted online.

Athletic Summary of Regulations Form (All Student-Athletes)

The Athletic Summary of Regulations Form includes information on conduct, academic performance, hazing, equipment/apparel, and travel information.  Please review the summary form and submit at the bottom.  The entire section of athletic policies can be found in the Student-Athlete Handbook, posted on the web-site.  This form must be completed and submitted online.

Insurance and Emergency Contact Form (All Student-Athletes)

The Insurance and Emergency Contact Form provides the sports medicine staff the necessary information needed in case of an injury that requires off-campus medical attention.  This form must be completed and submitted online.  Additionally, a copy of your insurance card (front and back) must be e-mailed (jjackson@dean.edu) or mailed to the athletic office (attn: compliance office).  If you are taking the school insurance, you do not have to submit insurance cards and write down "Dean insurance" in the space for name of insurance company.

Medical History Form (Freshmen and Transfers Only)

The Medical History form provides the sports medicine staff a snapshot of your medical history, which allows them to prepare the best care for you prior to and during intercollegiate competition. This form must be printed out, completed and sent either by e-mail (jjackson@dean.edu) or mailed to the athletic office (attn: compliance office).

Medical Update Form (Returning Students Only)

The Medical Update Form is to inform the health care professionals of any conditions or injuries that have occurred since your initial physical which may require additional attention.  This update is required only of those students who have previously participated in intercollegiate athletics at Dean College. This form must be printed out, completed and sent either by e-mail (jjackson@dean.edu) or mailed to the athletic office (attn: compliance office)

Medical Release Form (All Student-Athletes)

The Medical Release Form is required to allow the athletic trainers to share information regarding any injuries that may occur during the year. This form must be printed out, completed and sent either by e-mail (jjackson@dean.edu) or mailed to the athletic office (attn: compliance office).

Assumption of Risk Form (All Student-Athletes)

The Assumption of Risk Form is required and acknowledges that all student-athletes acknowledge that participating in intercollegiate athletics carries certain risks.  This form must be printed out, signed and sent either by e-mail (jjackson@dean.edu) or mailed to the athletic office (attn:compliance office).

Sickle Cell Waiver Form (All Student-Athletes)

The Sickle Cell Waiver Form is required and informs student-athletes about the sickle cell condition and requires them to either submit documentation of a previous test for sickle cell, or signing a waiver form.  This form is to be used if waiving the test, and must be printed out, signed and sent either by e-mail (jjackson@dean.edu) or mailed to the athletic office (attn:compliance office).  If a copy of a previous sickle cell screening is sent in its place, this form does not have to be sent.

Concussion Information Form (All Student-Athletes)

The Concussion Information Form is required to be reviewed and signed prior to any participation in intercollegiate athletics, as it provides information on how to notice the signs and symptoms of a concussion and how to care for yourself or others with a concussion.  This form is required and must be printed out, signed and sent either by e-mail (jjackson@dean.edu) or mailed to the athletic office (attn: compliance office).

Current Physical Exam (Freshmen/Transfers Only)

It is a Dean College  requirement that each student-athlete has a current  physical exam on file before he/she may participate in any practice, preseason training, conditioning training, scrimmages, or games.  In order for a physical to be considered current for intercollegiate athletics, it must be dated after  May 1, 2016.  This physical will be kept on file with the Health Services Office, along with your immunization records (required).

Physical forms must be downloaded (www.dean.edu/healthforms), printed and completed by your physician.  We will also accept the doctor's physical exam form, as long as it notes you are cleared for athletic participation.  A copy of the physical form must be sent  to the health services office (tmarshall@dean.edu), along with current immunization records.  In addition, a second copy of the physical form must be forwarded by e-mail (jjackson@dean.edu) or mailed to the athletic office (attn:compliance office).

If you have any further questions regarding these forms, you may call the Athletic Office Monday through Friday from 10 a.m. to 3 p.m. You may scan and email completed forms to jjackson@dean.edu or mail them to the athletic office (attn: compliance office).