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 Sickle Cell Trait (SCT) Form (PDF)
• SCT Facts for student-athletes (PDF)

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

* 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

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