Montclair Public Schools
Montclair High School
Principal: James N. Earle
100 Chestnut Street, Montclair, NJ 07042
973-509-4100
8:00 AM - 2:33 PM
Montclair Public Schools
MPS Home ➤ Schools ➤ Montclair High School ➤ Athletics ➤ Athletic Trainers/Impact Testing

Athletic Trainers/Impact Testing

Michele Chemidlin - x3920
Atanes Meronuli - x3920

 *************************************************************************************************************************

SPORTS PHYSICALS ARE ONLY VALID FOR 365 DAYS.

Required Forms

Sports forms: Submit only once per school year, the first season you play a sport during a school year.

Medical forms:  Submitted Each Season*

THE CLEARANCE PROCESS CAN TAKE 2 TO 3 WEEKS.

No forms will be accepted during or after school.

*The section below details the medical paperwork you are supposed to submit.

SPORTS PHYSICALS ARE ONLY VALID FOR 365 DAYS.

Physicals are reserved for athletes that do not have a primary care physician or have a physical expiring between October 23, 2017 and the start of the winter sports season, November 6, 2017 for Ice Hockey and Swimming; November 15, 2017 for Bowling; November 19, 2017 for Girls/Boys Basketball, Fencing, Wrestling, Winter Cheerleading and Girls/Boys Winter Track. If you need a physical for the winter sports season and cannot see your own physician before October 23, 2017, please plan on attending on your assigned day.

Hockey and Swimming

If you are a 9th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated on or after November 6, 2016, that physical is still valid and the only medical forms you must submit is the following:

  • Health History Update Questionnaire (completed by parent)

If you are a 9th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated before November 6, 2016, that physical is not valid and you must submit the following medical forms:

  • Pre-Participation Physical Evaluation - History Form (completed by parent)
  • Pre-Participation Physical Evaluation - Athlete with Special Needs Supplemental History Form (completed by parent)
  • Pre-Participation Physical Evaluation - Physical Examination Form (completed by doctor)
  • Pre-Participation Physical Evaluation - Clearance Form (completed by doctor)
  • Health History Update Questionnaire (if the most recent physical you are submitting it more than 90 days old) (completed by parent)

 

Bowling

If you are a 9th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated on or after November 15, 2016, that physical is still valid and the only medical forms you must submit is the following:

  • Health History Update Questionnaire (completed by parent)

If you are a 9th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated before November 15, 2016, that physical is not valid and you must submit the following medical forms:

  • Pre-Participation Physical Evaluation - History Form (completed by parent)
  • Pre-Participation Physical Evaluation - Athlete with Special Needs Supplemental History Form (completed by parent)
  • Pre-Participation Physical Evaluation - Physical Examination Form (completed by doctor)
  • Pre-Participation Physical Evaluation - Clearance Form (completed by doctor)
  • Health History Update Questionnaire (if the most recent physical you are submitting it more than 90 days old) (completed by parent)

 

Girls’ and Boys’ Basketball, Fencing, Wrestling Winter Cheerleading and Winter Track

If you are a 9th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated on or after November 19, 2016, that physical is still valid and the only medical forms you must submit is the following:

  • Health History Update Questionnaire (completed by parent)

If you are a 9th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated before November 19, 2016, that physical is not valid and you must submit the following medical forms:

  • Pre-Participation Physical Evaluation - History Form (completed by parent)
  • Pre-Participation Physical Evaluation - Athlete with Special Needs Supplemental History Form (completed by parent)
  • Pre-Participation Physical Evaluation - Physical Examination Form (completed by doctor)
  • Pre-Participation Physical Evaluation - Clearance Form (completed by doctor)
  • Health History Update Questionnaire (if the most recent physical you are submitting it more than 90 days old) (completed by parent)

 Form Submission and Sport Physical Schedule

 

IF YOU HAVE MULTIPLE ATHLETES, YOU CAN COME ON ANY OF THE NIGHTS TO TURN IN PAPERWORK

Form Submission and Sport Physical Schedule

 

IF YOU HAVE MULTIPLE ATHLETES, YOU CAN COME ON ANY OF THE NIGHTS TO TURN IN PAPERWORK

Location: LGI (Main Building)
Time: 4:00 pm – 7:00 pm

Thursday, October 5, 2017: Submit completed forms (Medical and Athletic) for Ice Hockey and Swimming
Thursday, October 12, 2017: Submit completed forms (Medical and Athletic) for Bowling, Winter Track and Wrestling

Wednesday, October 18, 2017: Submit completed forms (Medical and Athletic) for Fencing, Winter Cheerleading and Boys’ and Girls’ Basketball

Monday, October 30, 2017: Submit completed forms (Medical and Athletic) for athletes of any Winter Sport. 

IF YOU CANNOT MAKE YOUR ASSIGNED NIGHT, YOU MAY COME ANY OTHER EVENING.

 

OCTOBER 30TH IS THE LAST DAY TO TURN IN PAPERWORK

 

Physicals and Paperwork Submission

Location: LGI (Main Building)
Time: Paperwork Submission 4:00 pm – 7:00 pm, Physicals 4:30 pm– 6:30 pm

Monday, October 9, 2017: Sports physicals and form submission for Ice Hockey and Swimming
Tuesday, October 17, 2017: Sports physicals and form submission for Bowling, Winter Track and Wrestling

Monday, October 23, 2017: Sports physicals and form submission for Fencing, Winter Cheerleading and Boys’ and Girls’ Basketball

 

PARENT OR GUARDIAN MUST BE PRESENT FOR A PHYSICAL.

IF YOU CANNOT MAKE YOUR ASSIGNED PHYSICAL NIGHT, YOU MAY COME ANY OTHER EVENING.

 

OCTOBER 30TH IS THE LAST DAY TO TURN IN PAPERWORK

 

IMPACT TEST IS VALID FOR TWO YEARS.

ImPACT Dates:  Permission Slip

November 1st
3:00 pm - Fencing
4:00 pm - Boys and Girls Basketball
5:00 pm - Swimming and Ice Hockey

November 2nd
3:00 pm - Bowling, Wrestling and Winter Cheerleading
4:00 pm - Boys and Girls Winter Track
5:00 pm - Any Winter Sport

If you can't make your time slot, go to any other one.

 

Updated: 9/26/2017