IMPORTANT:
It is required to bring the evaluation form already completed to your appointment and your student(s) under 18 must be accompanied by an adult.

KSHSAA 3/2024

Pre-Participation Physical Evaluation Form 
Pre-Participation Physical Evaluation Form en Español

CCCHS

CCCHS ATHLETIC DIRECTOR - GREG FERGUSON

CCCHS ASST. DIRECTOR - LAURA POLLMAN

P: 785-632-2131 • F: 785-632-2076

Wakefield Schools

WAKEFIELD ATHLETIC DIRECTOR - RICH STEPPE

P: 785-461-5437 • F: 785-461-5892

CCCMS

CCCMS ATHLETIC DIRECTOR - KEITH HOFFMAN

P: 785-632-3232 • F: 785.632.6013