Jaguars News · 2021-2022 Athletic Clearance

In order to be cleared for athletics, all students interested in competing must complete the following steps:

1.  Complete an online clearance packet (click here), including current insurance information. 

2.  Provide proof of a current physical exam (dated after May 1, 2021) on the form located below.  Physical must be stamped and signed by your doctor.  Include parent signature for Consent and Acknowledgement on the physical form.

3.  Insurance – everyone participating in athletics must provide proof of insurance.  If you do not have insurance you will need to purchase 3rd party insurance before participating.  

4.  Upload a copy of your physical exam to your Athletic-Clearance account or email a copy to Mr. Canzone ( or Mrs. Rin (


Online Clearance Packet (Make sure to select 2021-22 & Segerstrom H.S.) – Click Here 

Physical Exam & Consent Form – 2021-22 Physical Form