If you have any questions please contact Larry Howe or Heather Matsuda.

Please Check Spelling Before Submitting!

School Name

Instructor #1 Name

Instructor Phone Number

Instructor #2

Instructor #3

Proctor Name(s)

Varsity Students with Grade Level (Grade Level needed for Senior Award)

Anatomy and Physiology #1

Anatomy and Physiology #2

Strength and Conditioning #1

Strength and Conditioning #2

Medical Terminology #1

Medical Terminology #2

First Aid & CPR #1

First Aid & CPR #2

Optional EPAC #1 (You must still sign this person up for a JV or Varsity Test)

Optional EPAC #2 (You must still sign this person up for a JV or Varsity Test)

Oral Practical #1

Oral Practical #2

Oral Practical #3

Oral Practical #4

Oral Practical #5

Oral Practical #6

JV Students with Grade Level (if you are bringing more than 10, you can add multiple names in each section)

JV Student #1

JV Student #2

JV Student #3

JV Student #4

JV Student #5

JV Student #6

JV Student #7

JV Student #8

JV Student #9

JV Student #10

Anatomage: List the students (up to 5) that will be competing in this optional category

Checkbox for IEP/504 (NOT REQUIRED)

If you have students that would like to have access to use their 504 or IEP modifications for this competition, please check the box here so we will be aware, and then email Kayla Norwood (wctsmatesting@gmail.com ) with the student's name, test being taken, and modifications needed. You will be contacted if there are any questions or concerns regarding the requested modifications.

Checkbox

I have reviewed the Code of Conduct with all of my students

I agree to keep copies of all signed Code of Conducts and Medical Release Forms on my person at all times.

Washington Career and Technical Sports Medicine Association

The WCTSMA is a student directed organization dedicated to helping and promoting the Career and Technical Education Sports Medicine programs in the State of Washington at the high school level. The goal is provide leadership opportunities and technical training and experience to all students involved in their respective programs.

Important dates and reminders

Washington State Coaches Association Deadline Nov 1st yearly. Please register as a WCTSMA member at WSCA to receive your benefits Click Here to register.

Fall Leadership- October 7, 2023 at CWU Health Science Building 11:45am-5pm. CWU Football vs Eastern New Mexico 6pm- tickets sold separately.

Winter Leadership- Dec. 13, 2023 at Angel of the Winds Event Center. 12-4:30pm. Hockey 7pm puck drop.

Advocacy Day. 1/25/24 Training. 1/26/24 Columbia Room Legislative Building Olympia, WA.

Spring Symposium and Competition- April 18-20, 2024 Greater Tacoma Convention Center(Please note State will now start on Thursdays starting 2024)

Nationals May 13-19, 2024

SOLT May 19-21, 2024

Washington Career and Technical Sports Medicine Association

Washington Career and Technical Sports Medicine Association

Name Submission

Washington Career and Technical Sports Medicine Association

WCTSMA Spring Symposium & Competition 2024 Name Submission

DUE March 29, 2024

Washington Career and Technical Sports Medicine Association

Important dates and reminders

WCTSMA 630 Valley Mall Pkwy #161, East Wenatchee WA 98802