Radiance Spa

Sports Physical Sign-Up Form

Sports Physicals - 7th through 12th grades
July 22 & 29 • 5:30 - 8:30 p.m.

Sam B. Cook Healthplex
1432 Southwest Boulevard, Jefferson City, MO

Pre-registration and parental consent required.
Call (573) 632-5592 for an appointment or sign up below.

Height/Weight - Blood pressure
Range of Motion/Flexibility - General Exam - Orthopaedic Check (if needed)

Please wear athletic attire to the exam.
Cost: $25.00

The $25.00 fee helps to defer the direct cost of providing the program.

Click Here to Download and print the Pre-participation Evaluation Form
You may fill out the form and bring it with you to your appointment.

The Registration allows All information required.

Your Name
E-mail Address
Phone #
First Time Preference    
Second Time Preference    
You will be contacted if your selected time(s) is not available.