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2023-24 DCPS Student-Athlete Participation Packet

Parents must complete this form and have it approved by a DCIAA Athletic Trainer for each child who wishes to participate in athletics. Please enter all information and follow the instructions below.


Universal Health Certificate

After you complete the form, you will be prompted to upload a pdf or image of your student’s Universal Health Certificate (UHC). This is a medical document that must be completed and signed by a Licensed Healthcare Provider (MD, NP, DO). Please have this ready before completing the form. If you are uploading an image of the document from your phone, be sure to take pictures of both the front and back page. The UHC is valid for one calendar year (365 days) from the date of the exam.


Students with Allergies

If you child has allergies, you will need to submit an Anaphylaxis Action Plan. This is a medical document that must be completed and signed by a Licensed Healthcare Provider (MD, NP, DO) . Your student must also carry their epi-pen with them while at all practices and competitions.


Students with Asthma

If you child has asthma, you will need to submit an Asthma Action Plan. This is a medical document that must be completed and signed by a Licensed Healthcare Provider (MD, NP, DO) . It’s also important that you indicate the type of rescue inhaler used by the student on the Emergency Treatment Form (page 2). A list of valid inhalers is available on our website (thedciaa.com/asthma-management). Your student must have their rescue inhaler with them at all practices and competitions.

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

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Upload Attachment(s)

Please upload the following attachments. The Universal Health Certificate (front and back side) is required to submit the form. Other documents may be required depending on your child's medical condition.

There is a 250MB limit on each attachment.

Universal Health Certificate (Physical) - front side Click Here to Upload
Universal Health Certificate (Physical) - back side Click Here to Upload
Asthma Action Plan (if needed) Click Here to Upload
Anaphylaxis Action Plan (if needed) Click Here to Upload
Any Additional Paperwork from Doctor (if needed) Click Here to Upload
Any Additional Paperwork from Doctor (if needed) Click Here to Upload