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department of athletics policies & procedures - UNC Wilmington ...

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Back (strain, chronic pain, slipped disc, fracture) Y N<br />

Hip/thigh (sprain, strain, fracture, calcium deposit) Y N R L<br />

Knee (sprain, fracture, bursitis, tendonitis) Y N R L<br />

Lower leg (strain, fracture, shin splints) Y N R L<br />

Ankle (sprain, fracture, tendonitis) Y N R L<br />

Foot (sprain, fracture, tendonitis) Y N R L<br />

Toes (sprain, fracture, dislocation) Y N R L<br />

Do you wear any type <strong>of</strong> brace, tape, or special padding for play? Y N<br />

Have you had an illness/injury in the last 12 months not listed above? Y N<br />

Do you have any health concerns about participating in <strong>UNC</strong>W intercollegiate <strong>athletics</strong>?<br />

Please circle:<br />

Yes<br />

No<br />

If yes, please elaborate:<br />

289

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