TO: All
Butler Area Student Athletes and Parents/Guardians
SUBJECT: Physical
Procedure
The
All students interested in participating in athletics at
Butler Area School District are required to
undergo a comprehensive physical evaluation for participation in his/her first
sport of the school year, sign an Insurance Waiver Form, NovaCare Form, and
complete an Eligibility Questionnaire Form.
The CIPPE forms, Insurance Waiver form, Eligibility form, and NovaCare
form are available to download from our website at www.goldentornadosports.net, and
then click on “physical forms”. All
forms may be picked up at the Athletic Office or at any of the three secondary
buildings.
To be eligible to play a sport during the
school year, the initial CIPPE physical evaluation form must be completed no
earlier than June 1. Any CIPPE
physical turned in after that date will be valid ONLY for the
school year.
After June 1st of any year, a new comprehensive physical will
be
required regardless of when the physical was performed during the school
year. This comprehensive evaluation can
be performed at your family physician’s office or with our school doctors when
the district offers the physical in July “ONLY” for the entire school year. (see attached schedule).
There will be a $10.00 fee for physicals when done at the school
district. If you decide to have your primary care physician perform the
physical evaluation, please make sure that the CIPPE forms are the only form
provided to your doctor. When making an
appointment with your family doctor, please take all physical forms to the
authorized medical examiner and have him/her fill out Section 4 of the
evaluation.
Note:
PIAA
PIAA Butler Sports for grades
9-12: Golf, Bowling, Tennis, Rifle, Swimming, Lacrosse and Indoor Track.
All forms must be sent directly to the Athletic Office,
“NOT” the coach, as soon as completed, but at least one week prior to the first
day of practice. Physicals turned in at
the last minute may result in the student not being permitted to practice or to
participate in tryouts. Such delays may
result in a loss of tryout time or perhaps losing the opportunity to tryout
completely. Physicals will not be
accepted after the start of the PIAA defined season unless approved by the
Athletic Director. Once the physical is
turned into the Athletic Office and reviewed for eligibility, the student will
be granted permission to participate in athletics. When a student athlete has a desire to
participate in a sport that has roster reductions or cuts, it is imperative
they have all of their paperwork submitted in a timely fashion.
For any athlete participating in multiple sports seasons,
please follow the guidelines on page one for the initial CIPPE for the first
sport season. For the 2nd
and/or 3rd sport season, or if the physical was performed 14 days
prior to the start of the PIAA defined season, the parent/guardian and student
will need to re-certify their contact information and health assessment on
Section 5. Your doctor does not need to re-certify any information unless there
has been a change in the student-athlete’s health or if he/she has sustained a
serious injury since the initial evaluation.
If you check or circle yes to any of the questions on the “Supplemental
Health History” Form on Section 5, you are “required” to go to a certified by
licensed physician of medicine or osteopathic medicine and have him/her
complete Section 6 prior to being eligible to participate in the next sports
season.
If so, please schedule an appointment as soon as possible
so there is no delay in eligibility and participation for the next sport
season. If you are going to a different
doctor other than the one who performed the original comprehensive physical
(CIPPE), you must also take a copy of sections 1, 2, 3, 4, and 5 with you to
your personal physician so they can complete Section 6. Without Section 6, you
are not permitted to try out, practice, or play.
Lastly, the Butler Area School District Athletic
Department mandates that all students in grades
9-12 participating in football, soccer, wrestling, and
lacrosse complete the UPMC Impact Concussion baseline-testing program prior to
the first day of official practice as outlined by the PIAA. This innovative process known as IMPACT,
which stands for Immediate Post Concussion Assessment and Cognitive Testing, is offered by the
If further
information is necessary, please contact the Athletic Office at 724-214-3232.
START DATE FOR PIAA WINTER SEASON IS NOVEMBER 19, 2010
START DATE FOR PIAA SPRING SEASON IS MARCH 7, 2011