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
Stop Scroll
Subscription Busing available for next school year.   See full information.
MPS Home ➤ Schools ➤ Montclair High School ➤ Athletics ➤ Athletic Trainers/Impact Testing

Athletic Trainers/Impact Testing

Michele Chemidlin - x3920
Thomas Jacobus - x3920

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

PE Opt-Out Form: 2016-2017 form.

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 Forms  

Sports forms are to be submitted once per school year, the first season you play a sport.  You do not have to submit them in subsequent seasons.  These forms will be kept on file for the entirety of the school year.

  • Athletic Code of Conduct
  • NJSIAA Steroid Policy
  • Sports-related Concussion/Head Injury Fact Sheet
  • Sudden Cardiac Death

Medical Forms Submission for Fall Sports

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 July 6, 2017 and the start of the fall sports season, August 7, 2017. If you need a physical for the fall sports season and cannot see your own physician before June 27, 2017, please plan on attending on your assigned day.

If you are a rising 10th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated on or after August 8, 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 rising 10th – 12th grader and your last physical, on the proper medical forms, that the Health Office has on file was dated before August 8, 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)

If you are a rising 9th grader and your last physical was dated on or after August 8, 2016, that physical is still valid.  You do not need a new physical.  Bring the proper medical forms to your doctor and have him/her complete the forms with the information with your most recent, valid physical. You will have to submit all of the 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)

If you are a rising 9th grader and your last physical was dated before August 8, 2016, that physical is not valid.  You need a new physical.  Bring the proper medical forms to your doctor and have him/her complete those forms, or, if applicable attend your assigned physical night at Montclair High School.  You will need 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

 9th grade Physicals and Paperwork Submission

Location: George Inness Annex
Time: Paperwork Submission 4:00 pm – 7:00 pm, Physicals 4:30 pm– 6:30 pm

Tuesday, June 6, 2017: Form submission only for ALL INCOMING FRESHMAN
Monday, June 12, 2017: Sports physicals and form submission for ALL INCOMING FRESHMAN.  PARENT OR GUARDIAN MUST BE PRESENT.

IF YOU HAVE AN UPPER CLASSMAN  ALSO PLAYING A FALL SPORT, YOU CAN BRING HIS/HER FORMS IN ON THE ABOVE DATES.  PLEASE NOTIFY THE ATHLETIC OFFICE IF YOU ARE BRINGING AN UPPER CLASSMAN'S PAPERWORK, SO WE CAN HAVE ALL NECCESARY FORM READY TO EXPEDITE THE PROCESS.

10th – 12th Grade Paperwork Submission Only

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

Wednesday, May 31, 2017: Submit completed forms (Medical and Athletic) for Football, Girls’ Tennis, Gymnastics, Field Hockey
Wednesday, June 14, 2017: Submit completed forms (Medical and Athletic) for Cross Country, Girls’ Volleyball, and Girls’ and Boys’ Soccer
Thursday, July 6, 2017: Submit completed forms (Medical and Athletic) for athletes of any Fall Sport

10th – 12th Grade Physicals and Paperwork Submission

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

Tuesday, May 30, 2017: Sports physicals and form submission for Football, Girls’ Tennis, Gymnastics, Field Hockey
Tuesday, June 27, 2017: Sports physicals and form submission for Cross Country, Girls’ Volleyball, and Girls’ and Boys’ Soccer

PARENT OR GUARDIAN MUST BE PRESENT.

IF YOU CANNOT MAKE YOUR ASSIGNED PHYSICAL NIGHT, YOU MAY COME ON ANOTHER EVENING.

 

IMPACT TEST IS VALID FOR TWO YEARS.

ImPACT   Permission Slip

ImPACT Dates - MAC Lab

MUST HAVE PERMISSION SLIP

June 13, 2017

3:00 pm - Football
4:00 pm - Boys/Girls Soccer
5:00 pm - Field Hockey & Girls Tennis

June 16, 2017

3:00 pm - Cross Country
4:00 pm - Gymnastics, Girls Volleyball and Cheerleading
5:00 pm - Open to any sport 

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

 ImPACT Dates - Middle Schools

Glenfield Middle School
May 26, 2017 at 12:00 pm at Glenfield Middle School

Renaissance Middle School
May 31, 2017 at 3:00 pm at the High School MAC Lab

Buzz Aldrin
June 5 and June 6, 2017 at 9:00 am at Buzz Aldrin

 Permission Slip

Updated: 5/24/2017