Per my experience here in PA - and I think my eldest first filled out this form in 2007 - no one is reviewing this information or looking at it. No coaches, no school admin, no school nurses ever looked at it to my knowledge. Of course it may vary district to district, but more than once I had to give the school a copy of the form for a spring sport, because they lost it sometime between the fall sport and the spring sport. Always make copies for yourself.
And these are just four questions out of 50 questions on a health history…I don’t think there is some sort of ulterior motive, at least not in PA. I suspect the large number of questions rose out of the litigious nature of our society. Probably the schools/coaches get blamed if a kid is injured or experiences a medical emergency, that should have been foreseeable.