Athletic Forms


This form only needs to be completed and presented at the time your physical is conducted at a school site by Beacon Sports Medicine Institute.

Must be on file prior to any athletic participation in an IC and/or HS program and is in effect 24/7/365 during your enrollment in SBCSC.

Must be on file prior to any athletic participation in an IC and/or HS program. Please keep handout for risks of having/playing after a concussion.

Must be on file prior to any athletic participation (tryouts, practice, conditioning, etc.) for any IC and HS athletic program. (6/24/16 r/d). 

South Bend Community School Corporation Insurance Claim Form Instructions

Athletic Claim Forms for Accidents BEFORE August 1, 2016

Athletic Claim Forms for Accidents AFTER August 1, 2016

A brief description of the rates, conditions of coverage, and how to file a claim.

Must be on file prior to any athletic participation in an IC and/or HS program.

Please complete and bring this form to your physical conducted at one of our high schools by a Beacon Medical Group Sports Medicine Physican.