Mt - Mount Carmel Christian School - Home

Document Sample
Mt - Mount Carmel Christian School - Home Powered By Docstoc
					                             Mt. Carmel Christian School
                               1231 Mt. Pleasant Road
                               Mt. Pleasant, Pa. 15666
                              Telephone 724-887-7169
                             Fax Number 724-887-0487

                                   Doctor’s Form

I have examined the general physical condition of _______________________,
a pupil of Mt. Carmel Christian School. I find the said pupil to be able to
participate in athletic contests in the sports of soccer, basketball, volleyball,
track, softball, golf, and/or cheerleading for the school year 2011-2012* indicated
by my signature.

                                             ____________________________
                                             Doctor’s Signature
*Includes summer practices in 2012
                                             ____________________________
                                             Date




                             Mt. Carmel Christian School
                               1231 Mt. Pleasant Road
                               Mt. Pleasant, Pa. 15666
                              Telephone 724-887-7169
                             Fax Number 724-887-0487

                                   Doctor’s Form

I have examined the general physical condition of _______________________,
a pupil of Mt. Carmel Christian School. I find the said pupil to be able to
participate in athletic contests in the sports of soccer, basketball, volleyball,
track, softball, golf, and/or cheerleading for the school year 2011-2012* indicated
by my signature.



                                             ____________________________
                                             Doctor’s Signature
*Includes summer practices in 2012
                                             ____________________________
                                             Date

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:2/26/2012
language:
pages:1