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Kutztown Athletics

Home of the Cougars


Kutztown Athletics

Home of the Cougars

Kutztown Athletics

Home of the Cougars

Athletic Forms

Athletic Forms

Athletic Department Forms

PIAA Pre-Participation Section 6 and 7 

A health history (section 6) and physical (section 7) need to be completed prior to participating in your first athletic season of the school year. All other information will be submitted electronically through the online sports registration portal. Sections 6 and 7 will need to be completed entirely and submitted to the Athletic Department before a student can participate with a team during the season. All sections need to be completely filled out and signed in order to be valid. Note that Section 7 of the form needs a signature from a MD, DO, PAC, CRPN or SNP. A new physical is needed for each school year and must be dated after June 1st of the school year the student is entering.?

For Example; The first day of school is August 24, 2021. the physical will need to be dated after June 1, 2021. 


Recertification Packet

See PlanetHS for Recertification Form -


Physical Clearance form, PIAA Section 9 Return to Play 

(This Form must be completed for any student who required medical treatment from a licensed physician of medicine or osteopathic medicine after completing and submitting a physical. The reason of the visit must be related to athletics. For example we would not need a note if a student saw a doctor for a sickness.)


KASD Parental Consent for medical treatment / Eligibility Requirements

This form is required to be signed by all students participating in a sport or activity for Kutztown.  See PlanetHS for Parental Consent for Medical Treatment Form/Eligibility Requirements -


KASD Code of Conduct for Extra-Curricular Activities

This form must be signed by all Parents and Students participating in Athletics.

See PlanetHS for Code of Conduct Form -


KASD Coaches Contact Information Sheet

This sheet has the contact information of each head coach for each sport offered. 


KASD Concussion Report 2021-2022

This report shows the concussion summary for the district. 


KASD Athletic Transporation Request Form This form must be complete and submitted to the Athletic Department and the Head Coach 24 hours in advance if a student is requesting modified transportation to or from a competition or event.  Completed forms submitted by email should be sent to the head coach and athletic director.


2022-2023 Cougar Athletic Pass Order Form This form is for all fans that would like to buy a cost saving year pass for all Kutztown Area High School and Middle School sporting events.