Piaa form 2012-2026

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The document outlines the requirements for a Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE) for students wishing to participate in sports at PIAA member schools. It details the necessary steps for completion of the evaluation, including sections to be filled out by parents, students, and an Authorized Medical Examiner (AME). The document emphasizes the importance of health history, emergency information, and understanding concussion risks. It also specifies that the CIPPE must be completed annually and provides guidelines for subsequent sports participation within the same school year.

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Click ‘Get Form’ to open the piaa form 2012 in the editor.
Begin with Section 1, where you will input personal and emergency information. Fill in the student's name, gender, date of birth, age, grade, and contact details for both the student and parent/guardian.
Proceed to Section 2. The parent/guardian must provide consent for participation by signing and indicating the sports for which the student is approved.
In Section 3, ensure that both the student and parent/guardian acknowledge understanding of concussion risks by signing and dating this section.
Move on to Section 4 to complete the health history. Answer all questions honestly, circling any uncertainties and providing explanations for 'Yes' answers at the bottom.
Finally, Section 5 requires completion by an Authorized Medical Examiner (AME). Ensure they sign off on the evaluation results before submitting it to your school’s principal.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (125 Votes)
2016	4.2 Satisfied (91 Votes)
2015	4.4 Satisfied (442 Votes)
2013	4 Satisfied (56 Votes)
2012	4.4 Satisfied (264 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much do PIAA refs make?

Average incomes for high school referees can vary by geographic region. According to a 2017 USA Today article, referees in New York State can earn up to $1,000 a week. In Texas, refs working varsity football games make at least $100 per game, increasing to $205 per game for those traveling farther than 91 miles.

How much do PIAA refs get paid?

Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE)

What is a cippe form?

The PIAA rule says: Within 10 days prior to the start of each sports season, no student enrolled at a PIAA member high school may participate in any team competition on a team on which all other players and at least one coach are also affiliated at that students school.

How much does a high school referee make per game?

Complete the PIAA Officials Application and submit to PIAA Office or complete the online application. Persons wishing to become a junior official (16 17 year olds) should contact Kim Hill directly at (717) 697-0374 ext.

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