2022-2023 Sports Physicals
The staff of Mercy Health Defiance will be on site to conduct our annual sports physicals on Wednesday, May 18th, during the school day. This will be for any student currently in grades 6th-11th. This is a great opportunity for our student athletes to get a physical for the 2022-23 school year. All students planning on participating in a sport next school year are required to have a physical on file in the athletic office before their first official practice. You will NOT be able to practice until the physical is on file in the athletic office.
The cost of the physical is $25.00. Cash or checks can be made payable to Ayersville Local Schools.
Forms and paperwork can be picked up in the athletic office, or download here Physical Packet
The following highlighted areas and signatures need to be completed on the physical form BEFORE the physical can be given:
History Form Completed and Signed, Disabilities Form Completed and Signed
Name, Date of Birth, and Grade at top of Physical Examination Form
Name, Date of Birth, and Grade at top of Medical Eligibility Form and Shared Emergency Information
Student/Parent Signature and Date on Pre-participation Physical Evaluation.
You will need the following on the day of your physical
*Completed Physical Form with Signatures (please write next years grade on form)
*$25.00 cash or check made payable to Ayersville Athletic Dept.
It is highly recommended that the physicals be conducted here at the school.
Questions: Please contact the Ayersville Athletic Department
Athletic Director: 395-1111 ext:201 Athletic Secretary: 395-1111 ext: 200
rmanriquez@ayersvillepilots.org pwolfrum@ayersvillepilots.org