Student Athlete Forms

Kirkwood Athletic Physical Form

Every student athlete MUST have a physical form on file before they can participate in any school-related athletic practice or event. Contact  Lynn Lueck (319/398-4909) to have the form faxed, mailed, or emailed to you. Signed and completed physical forms should be returned to your head coach.  If you'd like to print the physical in pdf form, click HERE.

Kirkwood Athlete Release Information Form

All student athletes must fill out a Athlete Release Form and turn in to the Athletic Department or your coach. The PDF form is available by clicking HERE.

First Agency Insurance Authorization Form

This form (both sheets) must be printed off, completely filled in, and returned to your head coach. The PDF form is available by clicking HERE.

Mailing Address:   Kirkwood Athletics
                                  Johnson Hall
                                  6301 Kirkwood Blvd SW
                                  Cedar Rapids IA 52404


Parents' Insurance Information

You may access a copy of the information that will apply to the handling of your son's/daughter's insurance coverage in the event that they incur an injury while participating in athletics at Kirkwood.  Click HERE.  No signatures are required and you do not need to return this to your coach.