Forms/Physical

SPORTS QUALIFYING PHYSICAL EXAM
CUTOFF DATES

School year SQPE Must be On or After this Date
2020-2021 6/15/2017*
2021-2022 6/15/2019
2022-2023 6/15/2020
2023-2024 6/15/2021

 

*The Minnesota State High School League is allowing a one year extension to all SQPE's for the 2020-2021 school year. All students participating in Wayzata High School Athletics will need a SQPE dated on or after 6/15/2017. The form must be signed and dated by a physician.

Well Checks are not acceptable for athletics. Boy Scout physicals and Summer Camp physicals typically do not meet the requirements of a sports qualifying physical exam. Your form must state that your child is cleared to participate in sports.

  • The Medical Eligibility Form is the only page that needs to be turned in to the Activities Office.
  • Please make sure that one of the 4 boxes is checked and the form is signed by the physician before you leave the exam.
  • All sports qualifying physical exams must be dated after 6/15/2017 for the 2020-2021 school year.
  • If you are using a different form, it must clearly state that the physical is good for extra-curricular sports.
  • Sports Qualifying physical can be emailed to Jeanie.Faue@wayzataschools.org or faxed to 763-745-6625.