Athletic Forms for 2011-12

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NOTE: If you have already participated in a sport download the GREEN form.

Regarding Physicals and Insurance for Athletics:

Under state law, school districts are required to ensure that all members of school athletic teams have accidental injury insurance that covers medical and hospital expenses. The insurance requirement can be met by the school district offering insurance or other health benefits that cover medical and hospital expenses (Education code Section 32221.5).

Some pupils may qualify to enroll in no-cost or low-cost local, state, or federally sponsored health insurance programs. Information about these programs may be obtained by calling:

(1) The Healthy Families Program: 1-800-880-5305; (2) MediCal: 1-800-541-5555 http://www.healthyfamilies.ca.gov/Home/default.aspx

(3) San Diego Kids Health Assurance Network (SD-KHAN): 1-800-675-2229; http://sdpublic.sdcounty.ca.gov/

3851 Rosecrans Street, Suite 522

San Diego, CA 92110-3115

(4) Child Health and Disability Prevention Program: 1-800-675-2229 for Homeless or Foster Youth free medical and dental check ups.