Forms needed for clearance

All forms below will need to be scanned (no pictures) and uploaded as pdf documents to athleticclearance.com for clearance to be completed:

1. GUSD-approved athletic physical form: Physical exam must be dated after 6/15/2021, be fully completed, be signed by the physician, and have an original doctor office stamp to be valid.

DOWNLOAD:
ATHLETIC PHYSICAL FORM

2. Copy of front AND back of a valid medical insurance card.

3. Athletic clearance confirmation page: Signed/dated by student AND parent/guardian.

Athletic Registration

STEP 1

New student-athletes

1. Create an account (only one account needed per family) by visiting athleticclearance.com
2. Click the “register” link to start an account. You will need a valid email address. 
3. Once your account is created, you will need to verify your account. You will receive an email once your account is created. Click the link in your email to start the registration process.
4. Complete all required fields. Upload all required forms.
5. Press submit. You have now completed step 1.

Existing student-athletes 

1. Login at athleticclearance.com using your username/password.
2. Select the “new clearance” button (upper left corner)
3. Select the current school year and school (Gilroy CIF-CCS)
4. Select your your existing student athlete
5. Complete all required fields. Upload all required forms.
6. Press submit. You have now completed step 1.

STEP 2

1. You will receive an email confirmation from athleticclearance.com.
2. Print out the confirmation email. Students and parents/guardians need to sign and date this confirmation page.

STEP 3

1. Bring the signed confirmation form and the completed athletics physical form to the ASB office on campus to complete the clearance process. The ASB office is open from 8 a.m.-4 p.m. Monday-Friday (closed for lunch from 11:30 a..m.-12:30 p.m.)
2. The student will receive an emergency card with a clearance stamp from the ASB office.
3. The parent/guardian signs the emergency card. The  student gives the signed card to their coach. 

If you have any questions, please contact the Athletic Director, Tim Pierleoni (tim.pierleoni@gilroyunified.org or 669-205-5400).
 

ImPACT Tests 

How do I take an ImPact Test?

Email Athletic Director, Tim Pierleoni, at tim.pierleoni@gilroyunified.org.  After that Mr. Pierleoni will send an email back to the student to take the ImPact Test.   

Who needs an ImPact Test?

All students who want to participate in athletics need an active ImPact test on file. Once you pass, your ImPact test is valid for two years. If you need to know if your ImPact test has expired, email athletic director Tim Pierleoni (tim.pierleoni@gilroyunified.org).

ALL FRESHMAN athletes must take an ImPact test to participate in athletics.

Test Appointments & Consent Forms

The tests will be the Gilroy High Student Center. Students are required to bring a signed consent form to the test.

NO CONSENT FORM = NO TEST    

If you do not have access to a printer, download the consent form, fill it out through Kami and email the form with the time/date of your test to athletic director Tim Pierleoni (tim.pierleoni@gilroyunified.org).

More About the Test

ImPACT is a sophisticated, research-based computer test developed to help clinicians evaluate and manage recovery following concussions. Prior to clearing for a sport, athletes are given a baseline test. When a concussion is suspected a follow-up test is administered to see if the results have changed from baseline. This helps clinicians diagnose and manage concussions. ImPACT helps clinicians answer the difficult questions about an athlete's readiness to return to play.

• ImPACT brochure
• ImPACT protocols
• ImPACT information for parents