Golden Eagles News · 2020-21 Health History Questionnaire Requirements


To participate in Practices and Contests in IHSAA Recognized Sports during the 2020-21 school year on a school-
sponsored team, a student who had a prior pre-participation physical examination completed and such examination was completed more than 90 days prior to the first day of official Practice for the student’s sport, may, in lieu of having a 2020-21 Pre-Participation Physical Examination form completed, provide this Health History Update Questionnaire, completed and signed by the student’s parent or guardian, or by the emancipated student. Provided, should any question on this Questionnaire be answered in the affirmative (‘Yes’), then the student must have a 2020-21 Pre-Participation Physical Examination form completed.

2020-21 Heath History Questionnaire and Consent & Release Certification