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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.
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Signature HereClick to Sign
11/23/2024Click to Sign
Signature HereClick to Sign
11/23/2024Click 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
11/23/2024
11/23/2024Click to Sign
Signature HereStudent Will Sign Here
11/23/2024
Your Name Here
Signature HereClick to Sign
11/23/2024Click to Sign
Your Name HereClick to Sign
Your Name Here
Signature HereAthletic Director Will Sign Here
11/23/2024

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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