Prospect Tryout Form

This form must be completed before any prospect may tryout for a 14-day certification period.
Sport ______________________________________________________________________________
Prospects Full name _________________________________________________________________
First
Middle
Last
BU ID _____________________ Year in School _______ Transfer? ______ Recruited? _______

1. I certify that the student listed above is enrolled in _____ credits this term and is eligible to
tryout/practice as a full-time student.
14 day period begins__________________

14 day period expires____________________

____________________________________________
Director of Compliance

___________________
Date

2. I certify that the above student has provided the following information and is therefore allowed to
practice for 14 days:
a. Results of a physical examination administered within the last six months,
b. Results from a sickle cell solubility test or signed written sickle cell release, and
c. A completed the health history form.
____________________________________________
Athletic Trainer

____________________
Date