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Extra Curricular Forms and Applications

Physical Form

Students must have a valid Physical Form on file with the school district to participate in extra curricular activities. The physical is good for 3 years from the date signed by the physician.

2024-25 Physical Form

2024-25 Health Questionaire

 

Eligibility Form

Students must have an Eligibility Form on file with the school district each year to participate in activities.

2024-25 Eligibility Brochure

All students participating in activities should have a signed eligibility brochure on file in the High School office each school year.

 

Each student must have an insurance waiver on file with the district yearly at the start of each school year.

Insurance Waiver 24-25

Each year families must apply to qualify for free and reduced lunches. 

2022-23 Application for Educational Benefits Packet

The following is a copy of the power point presentation that is required yearly for participation in activities. Please refer to the presentation for clarification and review of the information presented.

All Parents and students must complete the following form to get credit for attending the meeting:

2024-25 Eligibility Meeting Form

2024-25 Eligibility Meeting

MSHSL Concussion Insurance Program

The Minnesota State High School League provides all its member schools and their students with a free Concussion Insurance Program which is specifically developed to insure student participants from the high cost of concussion treatment and neurological follow-up.   The injury must be sustained while the student is participating in an MSHSL covered event. 

All students are eligible for coverage in grades 7 through 12, participating in activities, practice or play of sports, at the Varsity, Junior Varsity, B-Squad, and Sophomore level sponsored by the MSHSL.  

The policy limit is $25,000 per injury medical maximum.  Coverage is secondary/excess to any other valid and collectible insurance carried by the parent/guardian.

The new program intends to assure that all eligible students in MSHSL member schools receive prompt and professional attention for head injury events. Accident medical deductibles and co-pays left unpaid by other insurance policies are reimbursed under this program to the limits of the policy. 

Fillmore Central Notification Letter

MSHSL Concussion Insurance Program

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