- Fill out Part I.
- Must be signed by parent/guardian.
- Physical Fitness Certification on page 3 must be signed by Family Physician or School Nurse.
Return form to the Guidance Office in person or by one of the following methods:
- Email: email@example.com
- Fax: 631-474-2734
- Mail: MPHS Guidance Office, 15 Memorial Drive, Miller Place, NY 11764
Please print out pages below:
Working Papers Page 1 & 2 (click here)