This physical examination clearance form requires a medical evaluation and clearance for students to participate in athletic activities. It includes sections for student information, examiner certification of physical fitness or restrictions, classification of sports by contact and intensity, and examiner signature and date. The examiner must certify that the student is physically fit to participate, specify any restrictions, and confirm that a physical exam is on file in their office.
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Narrated Business Proposal for the Philadelphia Eaglescamrynascott12
Slide 1:
Welcome, and thank you for joining me today. We will explore a strategic proposal to enhance parking and traffic management at Lincoln Financial Field, aiming to improve the overall fan experience and operational efficiency. This comprehensive plan addresses existing challenges and leverages innovative solutions to create a smoother and more enjoyable experience for our fans.
Slide 2:
Picture this: It’s a crisp fall afternoon, driving towards Lincoln Financial Field. The atmosphere is electric—tailgaters grilling, fans in Eagles jerseys creating a sea of green and white. The air buzzes with camaraderie and anticipation. You park, join the throng, and make your way to your seat. The stadium roars as the Eagles take the field, sending chills down your spine. Each play is a thrilling dance of strategy and skill. This is what being an Eagles fan is all about—the joy, the pride, and the shared experience.
Slide 3:
But now, the day is marred by frustration. The excitement wanes as you struggle to find a parking spot. The congestion is overwhelming, and tempers flare. The delays mean you miss the pre-game excitement, the tailgate camaraderie, and even the opening kick-off. After the game, the joy of victory or the shared solace of defeat is overshadowed by the stress of navigating out of the parking lot. The gridlock, honking horns, and endless waiting drain the energy and joy from what should have been an unforgettable experience.
Our proposal aims to eliminate these frustrations, ensuring that from arrival to departure, your experience is extraordinary. Efficient parking and smooth traffic flow are key to maintaining the high spirits and excitement that make game days special.
Slide 4:
The Philadelphia Eagles are not just a premier NFL team; they are an integral part of the community, hosting games, concerts, and various events at Lincoln Financial Field. Our state-of-the-art stadium is designed to provide a world-class experience for every attendee. Whether it's the thrill of game day, the excitement of a live concert, or the camaraderie of community events, we pride ourselves on delivering a fan-first experience and maintaining operational excellence across all our activities. Our commitment to our fans and community is unwavering, and we continuously strive to enhance every aspect of their experience, ensuring they leave with unforgettable memories.
Slide 5:
Recent trends show an increasing demand for efficient event logistics. Our customer feedback has consistently highlighted frustrations with parking and traffic. Surveys indicate that a significant number of fans are dissatisfied with the current parking situation. Comparisons with other venues like Citizens Bank Park and Wells Fargo Center reveal that we lag in terms of parking efficiency and convenience. These insights underscore the urgent need for innovation to meet and exceed fan expectations.
Slide 6:
As we delve into the intricacies of our operations, one glaring issue emer
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1. PHYSICAL EXAMINATION CLEARANCE FORM
This form must be on file in the school before practicing with any athletic team
Student Name: _________________________________ Birth Date: __________ Age:____ Gender: M / F
Address: ______________________________________________________________________________________
Home Telephone: _____ - _____ - ________
School: ______________________________ Grade: ____ Sports: ___________________________________
I certify that the above student has been medically evaluated and is deemed to be physically fit to: (Check One Box)
(1) Participate in all school interscholastic activities without restrictions.
(2) Not cleared for: All Sports Specific Sports _________________________________________
Cross out specific sports below not cleared for participation.
Sport classification based on contact:
Collision Contact Sports Limited Contact Sports Non-contact Sports
Basketball Ice Hockey Baseball Alpine Skiing Track Field Events Bowling Track Running
Boys Lacrosse Soccer Competitive Cheer Girls Softball High Jump Cross Country Track Field Events
Diving Wrestling Girls Lacrosse Pole Vault Golf Discus
Football Girls Gymnastics Girls Volleyball Swimming Shot Put
Tennis
Sport classification based on intensity and strenuousness:
High Intensity High Intensity High Intensity Low Intensity
High-to-Moderate Dynamic High-to-Moderate Dynamic Low Dynamic Low Dynamic
High-to-Moderate Static Low Static High-to- Low Static
Moderate Static
Alpine Skiing Track Events - Distance Baseball Swimming Girls Competitive Bowling
Cross Country Track Events - Sprint Lacrosse (Boys and Girls) Tennis Cheer Golf
Football Wrestling Soccer Girls Volleyball Diving
Ice Hockey Girls Softball Field Events
Girls Gymnastics
(3) Requires further evaluation before a final recommendation can be made.
Additional recommendations for the school or parents: _____________________________________________
________________________________________________________________________________________
I have examined the above named student and completed the preparticipation physical evaluation. The athlete
does not present apparent clinical contraindications to practice and participate in the sport(s) as outlined above.
A copy of the physical exam is on record in my office and can be made available to the school at the request of
the parents. If conditions arise after the athlete has been cleared for participation, the provider may rescind the
clearance until the problem is resolved and the potential consequences are completely explained to the athlete
(and parents/guardians).
Examiner Signature: ________________________________________________ Date of Exam: ______________
Print Examiner Name: ___________________________________
COPY BOTH SIDES OF THIS SHEET FOR
Address: ______________________________________________ THE STUDENT TO RETURN TO THE
SCHOOL AND KEEP THE ENTIRE FORM
Office Telephone: _____ - _____ - ________ _________________
IN THE STUDENTS MEDICAL RECORD
-------------------------------------------------------- < DETACH HERE IF NEEDED TO ACCOMPANY STUDENT ATHLETE > ----------------------------------------------------
EMERGENCY INFORMATION FOR: ______________________ Grade: ____
Allergies – Drug Reactions – Current Medications: _________________________________________________________
Other Special Medical Information: _____________________________________________________________________
Emergency Contact: __________________________________________________ Relationship: ___________________
Telephone: (H) _____ - _____ - ________ (W) _____ - _____ - ________ (C) _____ - _____ - ________
Personal Physician ________________________________________ Office Telephone _____ - _____ - ________
2. INFORMATION & CONSENT FORM
To be completed by parent/guardian or 18 year old or older student-athlete; please take time to complete
the form to ensure the good health and safety of the student-athlete
Must be signed in four (4) places by parent/guardian or 18 year old or older student-athlete (Below and on page 3)
th
The exam date must be performed on or after April 15 to be valid for the following school year
The first two pages, Clearance Form and Information & Consent Form, must be kept on file with school athletic department
Student Name: ______________________________________________________________________________
Last First Middle Initial
Sex:______ Grade:________ Age:_______ Date of Birth:_______________
School: ___________________________________ Sport(s): _________________________________________
Student’s Address: ___________________________________________________________________________
Street City Zip
Father’s/Guardian Name:_______________________________________________________________________
Phone (home):________________________ (work):__________________ (cell):__________________________
Mother’s/Guardian Name:_______________________________________________________________________
Phone (home):________________________(work): ____________________(cell):_________________________
SIGNATURES CONSENTING TO CONDITIONS OF PARTICIPATION
STUDENT DISCLOSURE AND ACCEPTANCE OF CONDITIONS TO PARTICIPATE: This application
to participate in athletics is voluntary on my part and the information submitted is truthful to the best of my knowledge.
I have never received money or negotiable certificate for merchandise in any amount, nor any emblematic award or
merchandise worth more than twenty-five dollars ($25.00) for participating in athletic events, nor have I ever under an
assumed name. After I have represented my school in any sport, I will not compete in any outside athletic contest in this
sport until after my school season has been completed.
I understand that I am expected to adhere firmly to all established athletic policies of my school district and the Michigan
High School Athletic Association, such as those previously mentioned above as examples but which do not present all the
policies to which I am subject.
Signature of STUDENT: ___________________________________________ Date: __________
INSURANCE STATEMENT: Our son/daughter will comply with the specific insurance regulations of the school district.
The student-athlete has health insurance: Yes No
If yes, Family Insurance Co: _________________________________ Contract #__________________________
CONSENT TO DISCLOSURE: I hereby give my consent for the above student to engage in interscholastic athletics
and for the disclosure to the MHSAA of information otherwise protected by FERPA and HIPAA for the purpose of
determining eligibility for interscholastic athletics; and I understand the possibility that serious injury may result from
participating in athletic activities. He/She has my permission to accompany the team as a member on its out-of-town trips.
I further understand that my son or daughter will be expected to adhere firmly to all established athletic policies of the
school district and the Michigan High School Athletic Association.
____________________________________________________________________ ________________
Signature of PARENT OR GUARDIAN OR 18 YEAR-OLD Date
MEDICAL TREATMENT CONSENT: I, _______________________________________, an 18 year-old, or the
parent or guardian of _________________________________, recognize that as a result of athletic participation, medical
treatment on an emergency basis may be necessary, and further recognize that school personnel may be unable to contact
me for my consent for emergency medical care. I do hereby consent in advance to such emergency care, including
hospital care, as may be deemed necessary under the then-existing circumstances and to assume the expenses of such
care.
____________________________________________________________________ ________________
Signature of PARENT OR GUARDIAN OR 18 YEAR-OLD Date