Sections 1-5:

• Student Emergency Information
• Section 1 - Emergency Information-including medical insurance information
• Section 2 - Signed parent/guardian consent and parent signed PIAA Rules & Regulations
• Section 3 - Understanding of Risk of Concussion and Traumatic Brain Injury
• Section 4 - Understanding of Sudden Cardiac Arrest Symptoms and Warning Signs
• Section 5 - Acknowledgement, Waiver and Release: Covid 19
• Section 6 - Health History
• Section 7 - CIPPE Physical Evaluation (Doctor to Complete)
• AGSD ImPact testing Information/Permission Letter

Section 6: Sports Physical

• Section 7 - Comprehensive Initial Pre-Participation Physical Evaluation and Certification of Physician (CIPPE)
  • Must be completed by your doctor upon completion of a sport’s physical
  • Sports physical examination must be authorized on or after June 1, 2021 and shall be effective, regardless of when performed during a school year, until the next May 31st.
  • Copies of the form:
    • The forms can be found on the PIAA website Opens a New Window. or hard copies may be picked up in the main office.
  • Forms must be returned to the Athletic Office before participation in any practice or games for any interscholastic sport or on any cheerleading squad.

For more detailed information regarding PIAA rules and regulations, refer to the PIAA Handbook, Section 1, Constitution & By-Laws, Article V and XVI under Resources on the PIAA website.