Forms

Athletes are required to have the forms located below this section on file with the athletic office prior to taking part an any sport specific practice.  All athletes must also meet the OHSAA eligibility qualifications to participate in any extracurricular activities. 

 

The Mason High School Athletic Department recommends that all students athletes have their annual Pre-Participation Physical Examination conducted by the student athlete's primary care physician.  In the event that the student athlete and/or his/her parent(s) or guardian(s) elect not to utilize their primary care physician, pre participation physical exams can be obtained at the Premier Family Care of Mason located on the campus of Mason High School.

 

Premier Family Care of Mason 

Dr. Dale J. Block, MD

4859 Corwin Nixon Park Drive

Suite A

Mason, Ohio 45040

(513)492-5940

 

Note:  Physicals expire one year after date received.

 

2.   Combined Parent Permission & Emergency Medical Form
3.   Concussion Information Sheet

 

 

 

Mason City School District will be providing transportation to or from this activity. However, due to circumstances, my child will not be able to utilize this option.

 

Mason City School District will not be providing transportation to or from this activity. Thus, if i choose to allow my child to participate in this activity, I acknowledge that it is my responsibility to ensure that my child is provided safe transportation to and from this activity. 

 

Information regarding Volunteer Drivers 

 

 

This form is to verify that William Mason High School has permission to release a transcript of grades and/or college board (ACT or SAT) test scores regarding the student athlete to any coach/recruiter that requests this information, until the student graduates.