Athletic Forms

The following forms must be completed before any student is permitted to tryout or participate in an intercollegiate sport at Penn State Brandywine.
**A valid insurance card must also be brought when delivering forms.**

Please download and complete the following forms and submit them to the Athletic Department by delivering to 135 Commons or mail to:

Penn State Brandywine Athletic Dept.
Jeff Scarpone
25 Yearsley Mill Road
Media, PA 19063

Student-Athlete Information Form

Gameday Program Questionnaire

Medical Eligibility Form

PSUAC Participation Agreement Form

Emergency Contact & Medical Form

Health Insurance Portability & Accountability Act Authorization

Family Education & Rights Privacy Act

Physical Form (Must see Brandywine team doctor)

Medical History Form

Affidavit of no insurance (if necessary)