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DC GOVERNMENT

info@dc.gov

Washington, DC, US

Document Signers
    • 1 Parent

    • 2 Student

    • 3 Athletic Trainer

    • 4 Athletic Director

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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.

Student Signature

After you complete the form, you will be prompted to enter the email address of your high school student. Your student will receive an email message at that address with a request to sign the form. YOUR STUDENT MUST SIGN THE FORM. There will be no reminder emails sent to your student and school officials will have no way of accessing the form if your student does not sign it. We strongly encourage you to check with your student 5-10 minutes after you complete the form to ensure this takes place.

Universal Health Certificate

After you complete the form, you will be prompted to upload a pdf or jpeg 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 when it was signed by a healthcare professional.

Students with Allergies

If your 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 your 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 here. Your student must have their rescue inhaler with them at all practices and competitions.
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Signature HereClick to Sign
11/29/2020Click to Sign
Signature HereClick to Sign
11/29/2020Click to Sign
Signature HereAthletic Trainer Will Sign Here
Your Name Here
Your Name HereClick to Sign
Signature HereStudent Will Sign Here
Signature HereClick to Sign
11/29/2020
11/29/2020Click to Sign
Signature HereStudent Will Sign Here
11/29/2020
Your Name Here
Signature HereClick to Sign
11/29/2020Click to Sign
Your Name HereClick to Sign
Your Name Here
Signature HereAthletic Director Will Sign Here
11/29/2020

Create Your Signature

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Additional Signatures Required

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