Welcome, Vikings.

Complete your 2026–27 Blue River Valley athletic registration in one place — health history, IHSAA consents, and policy acknowledgments. Most families finish in about 15 minutes.

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Step 1 · Athlete

Tell us about the athlete

We use this for your roster spot, IHSAA eligibility records, and emergency contact during practices and games.

First name *

Last name *

Middle name

Preferred name

Date of birth *

Legal sex * IHSAA forms include a few female-only health questions.

Grade for 2026–27 *

Place of birth (city, state)

Home address *

City *

State *

ZIP

Mailing address same as physical

Student cell phone Only if the student has their own cell.

Student email

Prior schools

Required by IHSAA Rule 5

Tell us where the student attended in 7th and 8th grade so we can verify enrollment continuity.

School attended — 7th grade

School attended — 8th grade

Sports for 2026–27

Select all that apply

Coaches will be notified once you're rostered. You can add a sport later if mid-year tryouts open.

Step 2 · Family

Parents & guardians

We use this for athletic communication, attendance check-outs, and as the first call list when there's an emergency. List at least one parent or legal guardian.

Custodial overview

Student's primary residence is with *

Legal parents/guardians marital status

Special custodial situations you'd like the school to know about

Parent or guardian #1

Residential / primary

First name *

Last name *

Relationship *

Cell phone *

Home phone

Work phone

Email * The school uses this for reminders and alerts. This adult will be granted access to the student's record.

Address (if different from student's)

Parent or guardian #2

Optional

First name

Last name

Relationship

Cell phone

Home phone

Work phone

Email

Address (if different from student's)

Step 3 · Emergency

Emergency contacts, insurance, providers

If we can't reach a parent or guardian, these are the next people we'll call. Insurance and provider info helps the athletic trainer triage faster on the field.

In an emergency we'll call your Parent/Guardian #1 and #2 first. The contacts below are who we'll reach if neither parent can be reached.

Emergency contact #1

Required

First name *

Last name *

Relationship to student *

Primary cell *

Home phone

Work phone

Emergency contact #2

Optional

First name

Last name

Relationship to student

Primary cell

Home phone

Work phone

Insurance

Recommended

Required by the Consent & Release Certificate. If your athlete is injured at practice or a game, this helps the athletic trainer route care faster.

Insurance company

Policy number

Policy holder name

Insurance status

Providers

Optional

Type N/A and 000-000-0000 if there's no preference.

Doctor's name

Doctor's phone

Dentist's name

Dentist's phone

Preferred hospital

Step 4 · Medical history

Medical history

From the Blue River Valley Health History & Medical Profile and IHSAA pre-participation forms. Please answer with a parent or guardian if the athlete is under 18.

If medical information ever changes after registration, update this form right away — it directly affects how trainers and coaches care for your athlete.

Medical history completeness

If you do NOT have a complete medical history for this student, explain why

Birth, development & special needs

Any unusual birth or developmental history? *

No / Unknown Yes

Briefly explain

Does your child have special needs or a disability? *

No Yes

Describe — diagnosis, IEP / 504 plan, accommodations

Current medications

Prescription and over-the-counter medicines and supplements the student is currently taking. Type None if not taking any.

List all medications

Injuries, hospitalizations & surgeries

Anything that required medical attention. Type None if nothing to share.

All injuries and illnesses (include years if you can)

Has your child ever spent the night in the hospital? *

No Yes

When & why

Has your child ever had surgery or a serious injury? *

No Yes

List all procedures and approximate dates

Has a provider ever denied or restricted your child's participation in sports/activities for any reason? *

No Yes

Briefly explain

Other health notes

Optional

Anything else relevant to your child's safety the trainer or coach should know

Step 5 · Health questionnaire

Health conditions & IHSAA PPE questions

The first section lists conditions a school nurse, coach, or trainer should be alerted to. The rest is the IHSAA Pre-Participation Examination history that your provider will reference at the physical.

Past & ongoing health conditions

Mark Yes for any condition

List all conditions, allergies, and physical impairments to which a school nurse, coach, or athletic trainer should be alerted.

How you've been feeling — last 2 weeks

PHQ-4

Over the last two weeks, how often have you been bothered by the following?

A combined score of 3 or higher on either pair is used by the screener to recommend a follow-up conversation with your provider. This is not a diagnosis.

IHSAA PPE history questions

Yes responses ask for a short explanation

Required by the IHSAA Medical History Report. Answer for the student. If you mark Yes, please add a brief explanation in the box that appears.

Step 6 · Physical exam

IHSAA pre-participation physical

Indiana requires a physical signed by a certified physician, nurse practitioner, or physician assistant. Bring the IHSAA PPE Physical Form to your appointment, then upload the signed copy here.

Physical exam details

Date of exam * IHSAA Rule 8 requires the exam date to be between April 1 and the first practice of the season.

Name of examiner *

Examiner credential

Practice / clinic

Upload the signed IHSAA PPE Physical Form

Photo or PDF, all pages. We'll route it to the athletic office for review and clearance.

↓ Download blank IHSAA PPE Physical Form (PDF)

Drop your signed physical here

or tap to browse — PDF, JPG, or PNG up to 10 MB each

You'll formally pledge that a complete, signed physical will be on file before the first day of practice or tryouts in Step 7.

Step 7 · Consents

Acknowledgments & consents

Read each summary, open the full document if you'd like, and sign below. IHSAA and Blue River Valley both require these — most need both an athlete and a parent/guardian signature.

Step 8 · Review

Review and submit

Take one last look. You can jump back to any section to edit before submitting.

By tapping Submit registration, you confirm that the information above is complete and accurate, and that all required signatures have been provided.

Welcome, Vikings.

Tell us about the athlete

Prior schools

Sports for 2026–27

Parents & guardians

Custodial overview

Parent or guardian #1

Parent or guardian #2

Emergency contacts, insurance, providers

Emergency contact #1

Emergency contact #2

Insurance

Providers

Medical history

Medical history completeness

Birth, development & special needs

Current medications

Injuries, hospitalizations & surgeries

Other health notes

Health conditions & IHSAA PPE questions

Past & ongoing health conditions

How you've been feeling — last 2 weeks

IHSAA PPE history questions

IHSAA pre-participation physical

Physical exam details

Upload the signed IHSAA PPE Physical Form

Acknowledgments & consents

Review and submit

You're registered.