Sports Physical Packet Checklist


  • Pre-Participation Physical Evaluation Form - MUST BE DATED AFTER JUNE 1
  • 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)
  • **Summer/Off Season Athletic Consent Waiver (completed by parent/guardian)

Physical Form (PDF)


  • All physical forms MUST be submitted online via Healthy Roster. All forms are accessible to be complete online through Healthy Roster webpage and the Physical Form that gets completed by the physician can be also uploaded directly to Healthy Roster. Please refer to the instructions below. No paper forms will be accepted.
  • Any student that does not have a physical 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. 

Healthy Roster

Instructions for how to access Healthy Roster is found on the Parent Veracross Portal under Parent Resources, Athletics. 

Read Healthy Roster Step by Step Instructions

Visit Healthy Roster Web Site  

If you have other athletic related questions, please contact either the coach listed or Jon Lombardo, Athletic Director, at