Chadron Public School Sports/Extracurricular Activity Physicals
Any student that intends on participating in any sport or extracurricular activity for the 2018-19 school year must
have a current physical turned into the school. Our Chadron Medical Clinic providers are giving an opportunity for
your student to get the physical done at school.
The High School Physicals are scheduled for Wednesday May 2, 2018 at 7am. (Students that are going to be entering the 10th - 12th grades, fall of 2018)
The Middle School Physicals are scheduled for Thursday May 3, 2018 at 7am. (Students that are going to be entering the 7th - 9th grades, fall of 2018)
Attached is the sports/extra curricular activities physical form. Parents/guardians please fill in Health History
and sign permission at the bottom of physical form. Please return completed form to school by Friday,
April 20, 2018 along with $5 donation. Your student MUST have the form signed and returned to receive a physical.
If the form is not completed and signed by the parent/guardian, the student will not receive a physical. All physicals will be done in the High School locker room/concessions area (north side).
If, for a reason given by the medical provider, your student is NOT cleared to participate and needs “follow up”, the
school nurses will notify you. If your student has a conflict with the morning that is assigned for her/his grade, let us
know and we will get them in on the other day!
The providers will NOT be completing softball, baseball, boy/girl scouts or any other non-school related physicals at
We are so thankful to our community providers and families for making this opportunity available for our students. If
you have any questions/concerns, please don’t hesitate to contact us at the school. Hope to see your student/s there!
Jennifer Pyle RN-BSN
Patrick Jespersen RN-BSN