Athletic Training Staff
HEAD ATHLETIC TRAINER ATHLETIC TRAINER
Jason M. Jenkins, M.S.E., ATC, LAT Breezy Zambrano, MAT, ATC, LAT
Phone: (940) 552-6291 x. 2289 Phone: (940) 552-6291 x. 2283
STUDENT-ATHLETE MEDICAL FORMS
All forms must be signed and submitted before participation in any team activities (practice,games,etc.)
Please choose either the Word format or the PDF format. You DO NOT need to do both.
CLICK ON EACH FORM TO DOWNLOAD
Vernon College Physical Form 2026-2027 (WORD)
Vernon College Physical Form 2026-2027 (PDF)
Health History Form 2026-2027 (WORD)
Health History Form 2026-2027 (PDF)
Emergency Contact/Insurance Form (WORD)
Emergency Contact/Insurance Form (PDF)
HIPPA Release 2026-2027 (WORD)
Drug Testing Form 2026-2027 (WORD)
Drug Testing Form 2026-2027 (PDF)
PLEASE HAVE ALL FORMS COMPLETED AND SENT PRIOR TO JULY 22, 2026
DO NOT EMAIL THESE FORMS! SEND THEM VIA THE MAIL!!
ALL FORMS NEED TO BE SENT TO:
VERNON COLLEGE
ATTN: BREEZY ZAMBRANO, ATC
4400 COLLEGE DRIVE
VERNON, TX 76384
To the Athletic Training Student Applicant:
The following is a list of requirements for acceptance into the Vernon College Athletic Training Program:
Become accepted to Vernon College Completed Athletic Training application
Site visit and interview with the Head Athletic Trainer
Click on the link below for more details about the application process.
