Athletic Pre-Participation Requirements

PIAA RULES & REGULATIONS

Each student-athlete must turn the following into the Athletic Office before participation
 in any practice or games for any interscholastic sport or on any cheerleading squad:

Turn these in every school year-

1. AGSD Athletic Information
2. Section 1-Emergency Information-including medical insurance information
3. Section 2- Signed parent/guardian consent and parent signed PIAA Rules & Regulations
4. Section 3- Medical History
5. Section 4- Comprehensive Initial Pre-Participation Physical Evaluation and Certification of Physician (CIPPE) - sports physical examination performed AFTER June 1, 2010.

Turn these sections in for subsequent sport seasons AFTER turning in a valid CIPPE:

1. Section 5-Parent Re-Certification form-required before every subsequent season.  Signed no earlier than six weeks prior to start of season.
2. Section 6-Physician Re-Certification form-Principal’s designee will determine if this form is necessary based on Section 5 information.

Please call 610-869-3022, ext. 3483, if you have any questions.

1. The physical packet is for Avon Grove sports only.  You can obtain a physical packet from the middle school athletic office, AGIS’s main office, or online at www.avongrove.org/fsems.  Click on the “Athletics” heading. Fill out all pages completely, with the exception of the physician’s form, section 4, page 5.  Fill out all information completely, even if information is duplicated.


2. Please sign where signatures are required.  PARENTS:  You should have signed in at least 7 places.  STUDENTS: You need to sign 1 place, Section 3-Health History on page 4.


3. Be sure to specify a specific sport on the Athlete Personal Information Form, page 1.  This will automatically add you to the sign up list for that sport.  See below for a list of sports.


4. Section 4 must be completed by your doctor upon completion of a sport’s physical.  This physical must be performed after June 1, 2010.  Your doctor may fax Section 4 to the middle school at 610-869-0827.


5. AFTER completing the forms, make a copy of the packet for your records and submit originals to the Middle School Athletic Office.  During construction which is being performed this summer, it is recommended that you mail your packet to the middle school at:  Fred S. Engle Middle School, Attention Jan Newman, 107 School House Road, West Grove, PA  19390


6. Check the website for information on tryouts, practices and games:  www.avongrove.org/fsems, click on the sport under the “Athletics” heading. 

Forms

2010 - 2011 Athlete Information & PIAA Medical Packet

Section 5:  PIAA Re-Certification By Parent/Guardian

2010 - 2011 Información deportiva y paquete médico de la Asociación Atlética Interescolástica de Pennsylvania (PIAA)

Sección5:  RECERTIFICACIÓN De La PIAA Realizada Por Los Padres/Tutores