City School District of New Rochelle's Athletics Program requires students to be medically cleared by their School Health Office prior to tryouts or participation in any sport.
Complete and return the following forms to you child's School Nurse:
Name of Form
Health Examination Form
Interval Athletic Health History
Head Injury/Concussion Information Sheet (English/Spanish)
Medication Administration Form
Medication Attestation Form for Independent Use
Completed by your own Healthcare Provider or School Healthcare Provider
Completed and signed by your Parent/Guardian
Read and signed by Student Athlete and Parent/Guardian
Student requires medication during school, practice or events.
Student requires medication AND can self-carry and self-administer medication.
To best ensure the health and safety of your student athlete during each athletic season, please alert the Health Office immediately, if your child:
Sustained an injury requiring medical treatment
Is diagnosed with a serious illness
Missed school for greater than 5 days
For information regarding the Health Services requirements, please call:
NRHS Health Office: 914-576-4575
ALMS Health Office: 914-576-4331
IEYMS Health Office: 914-576-4368
For information regarding the Athletics Program, please call:
Athletic Department: 914-576-4586