Athletic Forms and Sports Physicals Information

  •  
    Information regarding athletics for Livingston High School students can be found on the Lancer Athletic website.
     
    For students participating in an interscholastic sport, intramural sport and/or club program at Heritage Middle School or Mt. Pleasant Middle School, complete the appropriate forms in the Genesis Parent Access portal:
    • HMS/YMCA Athletic or MPM Intramurals Permission Form
    • Intramurals/Dance Club Permission Form
    • Athletic Emergency Card  
    • Athletic Policies and Information Form:
    • Random Steroid Testing Consent (HMS students only)
    • Acknowledgement of reading the Concussion Policy
    • Acknowledgement of reading the “Sudden Cardiac Death in Youth Athletes” brochure
    • Acknowledgement of reading the LSC Sportsmanship Pledge
     
     
    Sports Physicals

    A Preparticipation Physical Evaluation Form is required by the State of New Jersey for students in grades 6-12 participating on a school-sponsored interscholastic or intramural athletic team or squad and must be completed prior to a student’s participation as per N.J.A.C. 6A:16 Programs to Support Student Development. 

    Included in the State of New Jersey mandate regarding participation in sports, physicals are valid for one calendar year only. All physicals MUST be documented on the official State of New Jersey physical forms which are available for download using the links below.  

    Preparticipation Physical Evaluation Form  
    Health History Update Questionnaire
     

    A valid athletic physical must be on file with the school nurse prior to the start of each athletic season.

    If the athletic physical has not expired by the first day that practice begins for the selected sport, that physical will take the student athlete throughout the entire season even if the physical may expire during the season. HOWEVER, the parent still must complete the “Health History Update Questionnaire” and submit this one page form to the school nurse.  

    If the athletic physical will expire prior to the first day of practice for the selected sport, a new athletic physical, including the “Health History Update Questionnaire” must be submitted to the school nurse.   

    We recommend that the parent keep copies of these forms prior to submitting them to the school nurse. 

     
    IMPORTANT NOTE:  
    If a student has asthma, an Asthma Treatment Plan must be on file in the student's health records. If you have not already done so, please have an Asthma Treatment Plan form completed and return it along with all other paperwork.  

    Parents are asked to have their own family physician conduct the athletic physical, however, if the family has no personal physician or if the family cannot afford to obtain an athletic physical on their own, they may take advantage of the free athletic physicals given at the school. These physicals are performed during the month of June each year in the Health Office at Livingston High School.
     

    If your personal physician is administering the physical examination, his/her findings must be recorded on the official Preparticipation Physical Evaluation form. Please be sure to complete all appropriate sections and have a parent/guardian sign the form prior to visiting your physician. 

     

    The due date for submission of all LPS forms is the same date that the season's physicals are given.
     
Last Modified on June 19, 2020