TROJAN ATHLETICS

TROJAN ATHLETICS

TROJAN ATHLETICS

Derry Area School District

Derry Area School District

Derry Area School District

PHYSICAL FORMS AND BASELINE CONCUSSION TESTING

Forms and Documents

Student-athletes are required to complete an athletic physical and baseline concussion test prior to participation in an interscholastic athletic program. Derry Area offers opportunities to obtain these requirements at no cost to families during the school year. Information is announced during the school day prior to each opportunity in order to provide this information to students. Coaches will also hold pre-season meetings with student-athletes to review these requirements. Additionally, parents and students can also contact the athletic trainer and athletic office with any questions or concerns, (724)694-2780.

Athletic Physical Documents

Athletic Physical forms (attachments below) will be provided while registering your child via the Register My Athlete portal which is located in the upper right corner of the www.derryathletics.com home page or by visiting www.registermyathlete.com. Links to each section of the PIAA Athletic Physical are provided below:

CIPPE FORM SECTION 1 – General Information

CIPPE FORM SECTION 2 – Certification of ParentGuardian

CIPPE FORM SECTION 3 – Concussion and Traumatic Brain Injury

CIPPE FORM SECTION 4 – Cardiac Arrest

CIPPE FORM SECTION 5 – COVID-19

CIPPE FORM SECTION 6 – Health History

CIPPE FORM SECTION 7 – CIPPE and Medical Examiner Certification

CIPPE FORM SECTION 8 – ParentGuardian Recertification

CIPPE FORM SECTION 9 – Recertification By Medical Examiner

CIPPE FORM SECTION 10 – CIPPE Minumum Wrestling Weight Form – Wrestling Only

 

Baseline Concussion Testing

  1. Baseline concussion testing is required for all 7th, 9th, and 11th graders, and any student-athlete who has never completed a test.
  2. Enter the building at the athletic training ramp located at the rear of the high school.
  3. Please contact Athletic Trainer, Mr. Tyler Bradley with questions concerning baseline concussion testing.
  4. Students are not permitted to begin practicing upon the first mandatory PIAA practice date without a completed examination


https://daathletics.com