Athletic Forms

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

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

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

South Bend Community School Corporation Insurance Claim Form Instructions

Athletic Claim Form for Accidents 


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.

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