Sport Sign-Up Forms

• Medical Eligibility Form (Return to School)
• Health History (Return to School)
• Pre-Participation Physical Evaluation Forms (Kept at Doctors Office)

Athletic Medical Information

• Eye Injury Fact Sheet
• ImPact Concussion Program
• Sports-Related Concussion & Head Injury Fact Sheet 
• Steroid & Substances: Opioids (Video)
• NJSIAA Banned Substances
• Steroid Testing Policy
• Steroid Testing Protocol
• Steroid Testing Consent Form
• Sudden Cardiac Death Information

 Parent & Athlete Information/Resources

• Activity Scheduler Parent Guide
• Case for High School Activities
• Interscholastic Contract/Agreement
• Multiple Sport Participation Benefits

Athletic Competition Health Screening & Physical Examinations
NJ.A.C. 6A:16-2.2 & N.J.S.A. 18A:4o-4

Each student, grades 6-12, must obtain a medical examination prior to participation on a school-sponsored interscholastic or intramural athletic team/squad.

The medical examination must be conducted by a healthcare provider or advanced practice nurse chosen by the student’s parent/guardian at the student’s *medical home*. A full report of the examination, documented on an approved school district form, dated, and signed by the medical provider must be presented to the school.

*Note*: A medical home is described as a healthcare provider (physician or advanced practice nurse) practice site chosen by the student’s parent/guardian for the provision of health care. If the student does not have a "medical home," the district may provide the examination at the school physician’s office or other appropriately equipped facility.

Each candidate whose medical examination was completed more than 60 days prior to the first practice session must provide an updated HEALTH HISTORY of medical problems experienced since the last medical examination. This must be completed and signed by the parent/guardian. The district form must be utilized.

Each candidate’s parent/guardian will receive written notification stating approval of the student’s participation in athletics based upon the medical examination or the reason for the disapproval of the student’s participation.

• NCAA Homepage
• Guide for the College-Bound Student Athlete
• NCAA Div I List of Approved Core Courses (School Code 311622)

Athletic Training Office
Phone: (856) 262-2388
Hours:

• Posted on Athletic Training Room Office door
• Generally from end of school day until last practice or home game is complete

Birgit Ickenroth, ATC (bio) 
bIckenroth@monroetwp.k12.nj.us

Joshua Lee, MS ATC (bio)
jlee@monroetwp.k12.nj.us

AT Duties

• Taping (Games and Practices)
• Strength Training
• Rehabilitation
• Game Coverage
• Immediate First Aid
• Injuries (Evaluation & Treatment
• Doctor's Office Referrals