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Gallaudet University Athletic Training Physical Forms

Welcome future and/or returning Gallaudet University student-athlete. Below are the GU Athletic Training Physical Forms that need to be filled out before you can participate in a practice and/or game(s) with your respective team.

Please download and print the PDF forms below and fill out and return them to:

Mariko Kobanawa
Head Athletic Trainer
Gallaudet University
800 Florida Ave., NE
Washington, D.C. 20002
Fax: 202.651.5274

If you have any questions please e-mail Mariko at mariko.kobanawa@gallaudet.edu or call 202.651.5265.

NEW REQUIREMENT: Sickle Cell Trait Testing Form & Facts

New/Transfer student-athletes must submit before participation for 2013-14 academic year.

Returning student-athletes must submit by 2014-15 academic year. 

2013-14 GU Athletic Training Forms (PDF)

  1. New/Transfer Student-Athlete Checklist
  2. Medical History
  3. Physical Exam and Stress Test
  4. Parent/Student Information
  5. NCAA Student-Athlete Authorization
  6. HIPPA
  7. Concussion Fact Sheet
  8. Concussion Statement
  9. Injury & Illness Reporting Acknowledgement
  10. Secondary Insurance Authorization
  11. Secondary Insurance Policy
  12. Drug Policy

* You need your Doctor's clearance and you will need to make a copy (front and back) of your primary insurance card

Sports Physical Forms for RETURNING Student-Athletes

  1. Returning Student-Athlete checklist
  2. Medical History
  3. Parent/Student Information
  4. Concussion Fact Sheet
  5. Concussion Statement
  6. Secondary Insurance Policy
  7. Drug Policy

* You also need to make a copy (front and back) of your primary insurance card