Skip to form

DC GOVERNMENT

info@dc.gov

Office of the Chief Technology Officer, Washington, DC, US

SeamlessDocs

THIS FORM IS NOT ACCEPTING RESPONSES

Please complete the latest version of the DCIAA Student-Athlete Participation Packet by following the links on our website: thedciaa.com/participation-forms
Please check that you agree before continuing.
I understand this is not a valid form. My responses will not be shared with my child's school.
Signature HereClick to Sign
12/21/2024Click to Sign
Signature HereClick to Sign
12/21/2024Click to Sign
Signature HereAthletic Trainer Will Sign Here
Your Name HereClick to Sign
Signature HereClick to Sign
12/21/2024Click to Sign
Your Name Here
Signature HereAthletic Director Will Sign Here
12/21/2024

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required

Upload Attachments

Please upload the following attachments from your healthcare professional. You must include both pages of the Universal Health Certificate (UHC). Blank documents are available at thedciaa.com/participation-forms

There is a 250MB limit on each attachment.

Universal Health Certificate (UHC) - front page Click Here to Upload
Universal Health Certificate (UHC) - back page Click Here to Upload
Anaphylaxis Action Plan (if needed) Click Here to Upload
Asthma Action Plan (if needed) Click Here to Upload
Any Additional Paperwork from Doctor (if needed) Click Here to Upload
Any Additional Paperwork from Doctor - Part 2 (if needed) Click Here to Upload
COVID-19 Vaccination Card Click Here to Upload