Worcester Cup Champions - 2004, 2006, 2007



Returners and Veterans

There are four components that must be filled out and returned to the head trainer

  1. The Information and Medical History Form
  2. The Pre-participation Physical (Your Physical must be performed by the appropriate medical professional, MD, DO, PA, NP on a yearly basis
  3. The Insurance and Aknowlegement Form
  4. Copy of the front and back of your insurance card (unless you have School Insurance or military insurance).
Mandatory Participation Forms can be found right here
Mail or Fax to:

WPI
ATTN: Mike DeSavage                                    Fax #:  508-831-5775
Athletic Training Department     AND/OR
100 Institute Road                                         ATTN: Mike DeSavage  
Worcester, MA 01609

Due Date:
  • The physical must be dated prior to the start of your season and will expire on that date annually
  • The packet and its entirerty needs to be recieved prior to the start of your season.
       THE EARLIER THE BETTER

If you have any questions regarding this information please contact: Mike Desavage at office #508-831-5733 or e-mail mdesav1@wpi.edu