Pioneers Grinnell College Logo Pioneers
Pioneer Athletic Forms
Athletics Home
Grinnell Home
Search
Comment

 

 
2009-10 Athletic Forms

Grinnell College requires ALL student-athletes to undergo a medical examination (physical) administered or supervised by a physician. The examination must be administered within six months prior to participation in any competition or practice (including non-traditional season practice).

If you are an incoming First-Year student, you have been sent a Student Health Record in your Admission Packet (the Student Health Record is a 6-page form on white cardstock). Completion of the Student Health Record satisfies your athletic medical examination requirement AS LONG AS THE EXAMINATION IS WITHIN SIX MONTHS OF YOUR FIRST TEAM PRACTICE.

All forms should be completed and returned to the PEC Office at least 30 days prior to your first team practice. Return all forms to:
Nancy Baumgartner
Grinnell College PEC
1118 10th Avenue
Grinnell, IA 50112

Physical Exam
Click here for form
*Required for returning varsity athletes
*Administered or supervised by a physician

Medical History Questionnaire (2 pages)
Click here for form
*Required for all student-athletes
*Completed by student-athlete

Athlete Insurance Form
Click here for form
*Required for all student-athletes (you must have medical insurance coverage to participate in varsity athletics)
*Completed by the policy holder

HIPPA Form
Click here for form
*Required for all student-athletes
*Completed by student-athlete

Questions? Contact Nancy Baumgartner at baumgart@grinnell.edu or at (641) 269-3800

 
Academics Admission Alumni Athletics Calendar Catalog Directory Gallery Library Offices Students ITS
© 2001-2005 Grinnell College Grinnell, IA 50112-1690 641-269-4000 Privacy policy and additional information.