New Student-Athlete Forms
Welcome to the Capital University Athletics family. There are a few important items that must be completed and returned so that we can establish your personal, confidential file with the Athletic Training Department. These forms are in addition to the forms you completed for Health Services.
All forms must be read and completed before you will be allowed to participate in any Capital University athletic activity. Please take time to read and complete these forms and return them no later than August 1, 2012 for fall sports and August 24, 2012 for spring sports.
Incomplete forms will be returned to you, which will delay the process.
Please download, print, and complete the following forms. Please note that you must attach a copy of the front AND back of your insurance card in the space provided. (new versions coming soon)
Athletic Participation Physical Form (PDF)
Medical History Form (PDF)
Disclosure of Protected Health Information Form (PDF)
Concussion Fact Sheet (PDF)
Student Athlete Concussion Responsibility Statement (PDF)
Permission to Treat and Consult Form (PDF)
Assumption of Risk Form (PDF)
Insurance Form - with copy of card attached (PDF)
Return completed forms to:
Capital University Athletic Training
Attention: Robert Thorne
1 College and Main
Columbus, OH 43209
Returning Student-Athlete Forms
The forms below provide us with the essential information we need in order to effectively manage and treat any injuries that incur during your season.
Please complete all forms and return to the address below. Each returning student athlete must have this information on file prior to the beginning of their season to be eligible to participate. Please take time to read and complete these forms and return them no later than August 1, 2012 for fall sports and August 24, 2012 for spring sports.
Athletic Participation Physical Form (PDF)
Disclosure of Protected Health Information Form (PDF)
Permission to Treat and Consult Form (PDF)
Assumption of Risk Form (PDF)
Insurance Form - with copy of card attached (PDF)
Concussion Fact Sheet (PDF)
Student Athlete Concussion Responsibility Statement (PDF)
Return completed forms to:
Capital University Athletic Training
Attention: Robert Thorne
1 College and Main
Columbus, OH 43209