To complete your screening, parents and youth must complete 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.

Each screening participant needs their own completed packet. 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 file to your laptop or desktop computer
  2. Once downloaded, to complete online, open the PDF with Adobe Acrobat Reader DC  (If needed, download for free for PC and Mac)
  3. Complete pages 1, 2 and 3, then pages 6, 7 and 8 by clicking on the bubble and/or writing in your answers (do not complete the STAFF ONLY pages)
  4. If completed online, 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 complete page 6 by hand and sign the waiver on page 7

If you encounter a problem, or you cannot print the form, we can print the forms for you at the screening, but it will delay your appointment. If this is necessary, please review the forms in advance so you will be prepared to complete them at the screening. See you there!

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