The mission of the Marion Center Area School District is to serve the community by challenging and educating all students to be responsible and productive citizens of a global society.
2012-13 – Revised & Updated July 30, 2012
Important Information for athletes (grades 7-12) and their parent/guardian.
Section 1 – Personal and Emergency Information – to be completed by parent/guardian
Section 2- Certification of Parent/Guardian – Parent/guardian must sign on each sport line in which the student will try out for the school year. Parent/guardian must also read and sign the 4 statements at the bottom of this section.
Section 3- Understanding of Risk of Concussion and Traumatic Brain Injury – to be completed by student and parent/guardian and signed by both the student and the parent/guardian.
Section 4- Understanding of Sudden Cardiac Arrest Symptoms and Warning Signs– to be completed by student and parent/guardian and signed by both the student and the parent/guardian.
Section 5 – Health History – to be completed by student and parent/guardian and signed by both the student and the parent/guardian.
Section 6 – PIAA Comprehensive Initial Pre-Participation Physical Evaluation and Certification of Authorized Medical Examiner – to be completed, signed and dated by the authorized medical examiner. The physical evaluation will be valid for all sports within the school year.
THIS CANNOT BE DONE PRIOR TO JUNE 1ST!!!
Fall Sports – 1st practice is Monday, August 13th.
Jr High Girls’ basketball is a fall sport at Marion Center
Winter Sports – 1st practice is November 16th.
Spring Sports – 1st practice is March 4th.
Jr High Girls’ volleyball is a spring sport at Marion Center
Section 7 -Re-Certification by Parent/Guardian – to be completed by the student and parent/guardian and signed by both the student and the parent/guardian.
prior to participation in a second sport (winter sport or spring) for the school year. (See office for a form)*
Section 8 –If a student was injured or ill after the original submission of the CIPPE (physical form), they must be re-evaluated by an authorized medical examiner using Section 8. This is required for return to participation. (See office or trainer for form)*
Students who require medical treatment from a licensed physician of medicine or osteopathic medicine anytime after completion of Section 6, will need to have Section 8 completed by the physician before returning to participation.
* If section 7 and or 8 are not properly completed, the student will be withheld from practice until this is done and verified by the athletic office.
Section 9 – CIPPE Minimum Wrestling Weight Classification – to be completed by a NWCA certified assessor. Our trainer, Pam Anderson, will, conduct the testing and complete this section in November.
Go to www.PIAA.org
Click on PIAA For
Click on Parents
Click on Forms
Click on PIAA Comprehensive Initial Pre-Participation Physical Evaluation