Walter Johnson High School
Crew, Inc.

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Form 3 Health Inventory Already “On File”
Walter Johnson Crew Spring 2014
Return this form ONLY if you already have a health form on file from Fall 2003. Otherwise, you MUST complete the physical form.

Name of Rower__________________________________

Grade 9 10 11 12 (circle one)
Male/Female (circle one)

If you participated in a fall or winter sport other than crew and your current health form is already on file in WJ’s Athletic Department, sign here. There is no need to provide another health form.

Fall/Winter Sport______________

(Note: Your parent MUST SIGN this form.)

Parent Signature_____________________Date__/__/__