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PIAA SPORTS PHYSICAL REQUIREMENT & PROCEDURES

PIAA SPORTS PHYSICAL REQUIREMENT & PROCEDURES

2012-13 – Revised & Updated July 30, 2012

Important Information for athletes (grades 7-12) and their parent/guardian.

THE CIPPE

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!!!

SPORT DATES

 

  • These students must      take the CIPPE to their own doctor to be completed and the entire packet      (with Sections 1,2,3,4,5, 6 completed) must be returned to the high school      office no later than August 9.
  • If participating in      winter sports only, these forms can be submitted to the High School      office anytime between June 2 and November 14.
  • If participating in      spring sports only, these forms can be submitted to the High School      office anytime between June 2 and March 1.      

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

  • Completed CIPPE FORMS must be returned      to the High School office BEFORE the 1st day of practice! (for      all athletes’ grades 7-12).   If the      required forms are not turned it, the student/athlete will NOT be      permitted to try out or begin practice with the team.

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.

QUESTIONS and ADDITIONAL INFORMATION

  • Questions      can be directed to our athletic director at the high school 724-397-5551      (John Bomboy ext 1133)
  • Copies      of the CIPPE form can be found in the High School office OR on the PIAA      website following these instructions:

Go to www.PIAA.org

Click on PIAA For

Click on Parents

Click on Forms

Click on PIAA Comprehensive Initial Pre-Participation Physical Evaluation

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