Prior to any student participating in Practices, Inter-School Practices, Scrimmages, and/or Contests, a GVMS student is required to complete the Emergency Athletic Card and turn it in to the Sarah Jones with other forms and fees. This card is good for the duration of the school year regardless of how many sports the student participates in. The parent and student are required to sign on the bottom of the form.
PIAA Comprehensize Initial Pre-Participation Physical Evaluation (CIPPE Sections 1-6)
Prior to any student participating in Practices, Inter-School Practices, Scrimmages, and/or Contests, at GVMS, the PIAA requires the completion of a Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE). The parent/guardian should complete Sections 1, 2, 3, 4 and 5. The parent/guardian is required to sign multiple sections on page 2 and the bottom of pages 3, 4 and 5
. The student is required to sign at the bottom of pages 3, 4 and 5
. Upon completion of Sections 1 - 5, Section 6 must be completed by an Authorized Medical Examiner (AME). The PIAA requires that page 6 be signed by the AME at the bottom even if additional documentation of the physical is attached to the paperwork.
All completed sections must be turned into the Sarah Jones. The CIPPE may not be performed earlier than June 1st and shall be effective, regardless of when performed during a school year, until the next May 31st.
PIAA Recertification Form (CIPPE Pg. 7)
The PIAA CIPPE form Pg. 7 (Recertification by Parent/Guardian) must be completed for any athletes who participate in additional sport seasons after the initial season covered by the Initial CIPPE form. This form may not be completed earlier than six weeks prior to the first Practice day of the subsequent sport season. The parent and student are required to sign on the bottom of the form. Upon completion, this form must be turned into the Head Athletic Trainer. PIAA Recertification Form (CIPPE Pg. 8)
The PIAA CIPPE form Pg. 8 (Certification by Licensed Physician of Medicine or Osteopathic Medicine) must be completed for any student who, subsequent to the completion of Sections 1 through 5 of the Initial CIPPE form, required medical treatment form a licensed physician of medicine or osteopathic medicine. This section may be completed at any time following the completion of such medical treatment. Upon completion, the form must be turned into the Head Athletic Trainer. Please consult the Head Athletic Trainer prior to completing this form.