Northwest High School

Athletic Trainer (C)

Northwest High School Athletic Physicals/High School/Middle School (5:00 - 5:30) - copy

Camp Start Date:

May 22, 2025

Start Time:

5:00:00 PM

Camp End Date:

May 22, 2025

End Time:

5:30:00 PM

Venue Name:

Texan Gym

Venue Address:

2301 Texan Drive, Justin, TX 76247

Camp Cost:

$20.00

Questions:

Gus Stevenson

rstevenson@nisdtx.org

(817) 215 - 0247

Special Notes:

Once the physical has been completed, all participants will upload both pages of the physical paperwork (Medical History and Physical Examination) and finish filling out all other required RankOne forms at the link below. REFUND POLICY: Refunds will be granted at the discretion of the Head Athletic Trainer. RankOne Online Forms/Physical Upload Link: https://northwestisd.rankone.com/New/NewInstructionsPage.aspx

Medical Info:

Print both pages of the UIL Physical Paperwork and bring with you to your time slot. Ensure the Medical History portion (Page 1) of the Physical Paperwork has been completed and signed by the parent or guardian. UIL Physical Paperwork Link: https://www.uiltexas.org/files/athletics/forms/PrePhysFormRvsd2024.pdf

Download Brochure

Northwest High School Athletic Physicals/High School/Middle School (5:00 - 5:30) - copy

First Name *
Last Name *
Mobile *
Email *
Grade *
Birth Date *
Address *
City *
State *
Zip Code *
Medical Information *

List Medications/Medical Conditions here. If none, type N/A

Page 1 of 2

Next >>

Guardian First Name *
Guardian Last Name *
Guardian Cell Phone *
Guardian Email *
Alternate Guardian First Name
Alternate Guardian Last Name
Alternate Guardian Phone
Alternate Guardian Email
Medical Release Information
Print both pages of the UIL Physical Paperwork and bring with you to your time slot. Ensure the Medical History portion (Page 1) of the Physical Paperwork has been completed and signed by the parent or guardian. UIL Physical Paperwork Link: https://www.uiltexas.org/files/athletics/forms/PrePhysFormRvsd2024.pdf
Guardian Signature *

I, the parent/legal guardian, agree entirely to the Medical Release Information.: clear

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Northwest High School Athletic Trainer (C)

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Northwest High School Athletic Physicals/High School/Middle School (5:00 - 5:30) - copy

CAMPER INFORMATION

PARENT/GUARDIAN INFORMATION