To complete your screening, parents and youth must COMPLETE AND PRINT this packet. Follow the directions below, and scroll down for more information about the screening event.

Health History Form and Screening Waiver

This is a fillable PDF. You can choose to fill it out online and print, or simply print it and fill it out by hand with a black pen. PRINT THE FORM SINGLE SIDED ONLY

Each screening participant needs their own completed form. Youth under 18 will not be screened without a parent signature and contact information on the waiver. (Youth with a signed waiver do not need a parent in attendance.)

  1. Click on the button below, download and save the form to your laptop or desktop computer
  2. Once downloaded, to complete online, open the PDF with Adobe Acrobat Reader DC – it will not work if you use Preview  (If needed, download Adobe for free for PC and Mac)
  3. Complete pages 1, 2, 3 and 4 (skip Staff Only pages) then pages 7 and 8 by clicking on the bubbles or type in the information.
  4. Once completed, click save before closing and printing the document
  5. Print the entire 8-page form SINGLE SIDED and bring it with you to the screening
  6. Once printed, you must sign the waiver on page 7

If you encounter a problem, or you cannot print the form, we have blank forms for you at the screening. If this is necessary, please review the forms in advance so you will be prepared to complete them at the screening. You can also simply print the form at home and fill in the bubbles by hand. See you there!

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