Welcome back Falcons!
Your understanding of the policies and procedures related to health care, privacy, and health insurance is critical to your success as a student-athlete. Please carefully read all of the information that follows before completing and submitting the forms.
All forms must be completed in their entirety, and all requested documentation must be submitted before you will be permitted to participate in any sport-related activity at Daytona State. Please type your responses directly on the forms, then choose one of the following options:
1. email to burnst@daytonstate.edu or
| 2. Print and mail to: | Trevor Burns |
| Daytona State College | |
| Athletic Department Bldg. 310 | |
| 1200 W. International Speedway Blvd. | |
| Daytona Beach, FL 32114 |
The deadline to return all forms is August 1, 2013
Faxed forms will NOT be accepted
(Scanned & e-mailed forms will be accepted)
**All forms must be completed even if the information has not changed since last year**
The following items are for you to read and keep for reference:
Procedures Regarding Athletic Injuries, Illness & Medical Care
Supplement Use & Daytona State College's Drug and Alcohol Policy
Please type your responses directly on the forms, then sign and return to the above address:
Daytona State College Follow-Up Medical Questionnaire
Student-Athlete Insurance Information
