content_image/864794.jpg content_image/864815.jpg
## X. EXHIBITS 

a) 1 Treadmill 

b) 2 Upright Bikes 

c) Stretching Area with exercise mats 

d) 2 sets of Bands 

e) 1 set of Medicine Balls 

f) 2 Foam Rolls 

g) 1 Set of dumb-bells (see recommended weights above under 1000/500 re - quirements) 

h) 1 Swiss Ball 

i) Wobble board 

The space should be large enough to allow for stretching, functional exercise, as well as to use the cardio equipment (Treadmill and bike). 

## X. EXHIBITS 

## EXHIBIT AA - Mandatory Physical 

<img src='content_image/864794.jpg'>

Player Name: ____________________ 

DATE OF EVALUATION: __________________________________________ 

LOCATION OF EVALUATION:________________________________________________ 

LIST ANY LIFE-THREATENING MEDICAL CONDITIONS: _____________________________________________________________ ____________________________________________________________________ 

____________________________________________________________________ 

I further certify that I am licensed to practice medicine in_______________________, 

License No.___________________. 

## MANDATORY PHYSICAL / COMPETITION CLEARANCE 

See instructions on how to submit this form to ATP below 

I certify that _____________________, a patient of mine has been medically evaluated and is: [Insert player name] 

Check One: 

<img src='content_image/864815.jpg'>

## ***IMPORTANT INSTRUCTIONS TO PHYSICIAN*** 

Please immediately fax the completed form to the attention of Todd Ellenbecker at +1.904.758.5312 or scan and email the form to:  todd.ellenbecker@atptour.com 

Date of Birth (DD/MM/YYYY) ____ / ____ / _______ 

________________________________________ Print Name of Physician 

__________________________________ Signature of Physician 

Date: ______________ 

Contact Telephone Number: __________________ 

