Student-Athlete Pre-Participation Forms

To be cleared medically by the athletic training staff, all student-athletes and parents of student-athletes (new, returning, and transfer student-athletes) must complete and return the following forms to the Athletic Department. In addition, all athletes must have a pre-participation physical exam from Cowell Wellness Center prior to participation in any University of the Pacific athletic activity. Physical exams are arranged through the athletic training staff. Each sport will be arranged with a specific date and time in the fall of each school year. Student-athletes can obtain schedules through their coaches or by coming into the athletic training room in the Pacific Intercollegiate Athletic Building. All participating student-athletes must make their arranged physical dates. Student-athletes need to send forms by July 15, 2008 to:

Pacific Athletic Training
Attn: Annette Martinez
University of the Pacific
3601 Pacific Ave.
Stockton, CA 95211

In addition, new and transfer student-athletes MUST send results of lab work (blood test and urinalysis), TB test and immunization records to Cowell Wellness Center by July 15, 2008:

Cowell Wellness Center
University of the Pacific
3601 Pacific. Ave.
Stockton, CA 95211

***Each student-athlete should download all the forms in the section that applies to them.
Download according to new & transfer student-athlete section or returning student-athlete section.

All Forms in PDF Format
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New & Transfer Student-Athletes
Insurance Letter
Insurance Information Form
Health Requirements for New Athletes
Authorization for Release of medical Information
New Athlete Check-Off Sheet

Returning Student-Athletes
Insurance Letter
Insurance Information Form
Returning Athlete Check-Off Sheet
- TB test required (each year)

If you have any questions or are unable to access or download these forms please contact Annette Martinez at
(209) 946-2588 or amartinez@pacific.edu
***All Athletes: Please send a copy of your insurance card (front and back) with the forms.