Developmental Baseball Students
Welcome, Developmental Baseball players!
Your understanding of the policies and procedures related to health care, privacy, and health insurance
is critical to your success as a student-athlete. Please carefully read all of the information that follows
before completing and submitting the forms.
All forms must be completed in their entirety, and all requested documentation must
before you will be permitted to participate in any sport-related activity at Daytona State. Please type
your responses directly on the forms, and then choose one of the following options:
1. Email to burnst@DaytonaState.edu or
2. Print and mail to:
Daytona State College
Athletic Department Bldg. 310
1200 W. International Speedway Blvd.
Daytona Beach, FL 32114
Deadline to return all forms is September 1, 2013
Faxed forms will NOT be accepted
(Scanned & e-mailed forms will be accepted)
The following items are for you to read and keep for reference:
Please type your responses directly on the forms, sign and return to the above address:
Medical History Questionnaire