SUNY Adirondack
Department of Intercollegiate Athletics
Phone: (518) 743-2269
Fax: (518) 832-7746
VARSITY ATHLETIC PACKET (VAP)
The following forms MUST be completed and returned directly to the Athletic Office prior to
participation in sports, including practice. Please use the following check list.
____ 1. NJCAA Medical Evaluation Form Part I and Part II (Physical)
____ 2. NJCAA Eligibility Affidavit
____ 3. Copy of High School Diploma or GED “Required by the NJCAA”
____ 4. Copy of transcript(s) if you attended another college
____ 5. Athlete Insurance Coverage/Contact Information
____ 6. Sports Medical Information and Liability Release Form
____ 7. Media Release Form
IMPORTANT INFORMATION
PHYSICAL FORMS:
 Part I must be completed, signed and dated by the student athlete.
 Part II must be completed, signed and dated by your physician or a copy of a medical
evaluation signed and dated by your physician is required.
o Physicals are good for one calendar year.
o Your physician can fax your medical evaluation to the Athletic Office.
Fax: (518) 745-7588
JUNE GRADUATES FROM HIGH SCHOOL
 If you just graduated from high school and are a new incoming freshman, you must be enrolled
as a full-time student carrying 12 or more credit hours in order to participate in varsity athletics.
DIPLOMA / GED
 You must provide a copy of your High School Diploma or GED. This is required by the
NJCAA.
TRANSFER STUDENTS / BREAK IN ENROLLMENT:

If you have a break in enrollment after graduation or transferred from another college please
indicate all dates from the time of high school graduation to present on the NJCAA Eligibility
Affidavit form in the space provided. Include dates (month/year) of employment, unemployed,
attending college, etc. There cannot be any lapse in time.

If you have transferred from any other college(s), it is your responsibility to provide a copy
of your transcript(s) to the Athletic Office. This should be taken care of immediately. You will
not be eligible to participate in sports if we do not have a copy of your transcript(s) on file.
PLEASE COMPLETE ALL ATTACHED FORMS
WHEN ALL FORMS ARE COMPLETED AND SUBMITTED TO THE ATHLETIC OFFICE
A BLUE CARD WILL BE ISSUED FOR CLEARANCE TO PARTICIPATE IN SPORTS
If you have any questions please stop by the Athletic Office located downstairs in the Gym
or call (518) 743-2269. Thank you.