Forms

Healthy Roster

St. Mary's Ryken utilizes a electronic healthy record system for Athletic Forms, medical documentation, and injury tracking called Healthy Roster.  All forms for the Physical Packet are completed/submitted on Healthy Roster which is sent directly to the Athletic Department.  Healthy Roster can be accessed via computer or mobile app.  Parents will get access via an email invite which will guide you in creating your Healthy Roster account.  If you do not receive an invite to Healthy Roster, please email  Head Athletic Trainer Bailey Clark.

Healthy Roster

Sports Physical Packet Checklist
(Updated for 2021-2022 School Year)

Below is a list of all the forms required to be completed for the Sports Physical packet.  All forms are completed/submitted on Healthy Roster.

• Pre-Participation Physical Evaluation Form - MUST BE DATED AFTER JUNE 1, 2021
• Athletic Consent Waiver Form (completed by parent/guardian)
• Medical History Questionnaire Form (completed by parent/guardian)
• Emergency Contact Form (completed by parent/guardian)
• Concussion Information Form (completed by parent/guardian)
• COVID-19 Assumption of Risk and Waiver of Liability (completed by parent/guardian)
• *Summer/Off Season Athletic Consent Waiver (completed by parent/guardian)

*Any student that does not have a physical packet completed and on-file with the St. Mary’s Ryken High School Athletic Department must complete a Pre-Season and Summer Workout Consent Form to participate in any SMR Athletic sanctioned event outside of the sports season (i.e., summer workouts, pre-season workouts, team lifting/conditioning). Please complete the form online through Healthy Roster.

Physical Form (PDF)