Athletic Forms
ATHLETIC FORMS
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PIAA PHYSICAL FORMS: (CIPPE FORM)
INITIAL PHYSICAL EVALUATION: Sections 1-6: CIPPE Form
PRIOR to any student participating in Practices, Inter-School Practices, Scrimmages, and/or Contests, at any PIAA member school in any school year, the student is required to have a completed physical, authorized by an Authorized Medical Examiner (AME)
The CIPPE may not be authorized earlier than June 1st.The Physical shall be effective, regardless of when performed during a school year, until the next May 31st.
PARENT RECERTIFICATION: Section7:CIPPE FormSection 7 of the CIPPE form is required of any student who is seeking to participate in all subsequent sport(s)in the same school yearPHYSICIAN RECERTIFICATION: Section 8:CIPPE Form
Section 8 of the CIPPE form is required of anystudent who subsequent to completion of Sections 1 through 6 of this CIPPE Form, required medical treatment from a licensed physician of medicine or osteopathic medicine. Section 8 may be completed at any time following completion of such medical treatment.
Wrestling Weight Certification: Section 9: CIPPE Form (1) Must be certified to by an Authorized Medical Examiner (AME)and (2) established NO EARLIER THAN six weeks prior to the first Regular Season Contest day of the wrestling season and NO LATER THAN the Monday preceding the first Regular Season Contest day of the wrestling season (See NOTE 1 under Section 9 of the CIPPE Form)
ADDITIONAL FORMS
Please fill the necessary forms in completely and sign all forms with a hand written parent signature. Forms must be return to the school athletic office or to your student's coach.
*Please note that electronic signatures and forms returned by fax or email are not acceptable.
Upcoming Events
Boys 8 North Basketball
(A) Tuesday Mar 9 @ 3:15PM vs Holicong Middle School
@ Holicong Middle School
Boys 7th Basketball
(H) Tuesday Mar 9 @ 3:15PM vs Holicong Middle School
@ Lenape Middle School
Boys 8 North Basketball
(H) Wednesday Mar 10 @ 3:15PM vs Tohickon Middle School
@ Lenape Middle School
Boys 7th Basketball
(A) Wednesday Mar 10 @ 3:15PM vs Tohickon Middle School
@ Tohickon Middle School
Boys 8 North Basketball
CB Tournament Semi Finals
(A) Tuesday Mar 16 @ 3:15PM vs OPEN
Boys 8 North Basketball
CB Championship at Holicong
(A) Wednesday Mar 17 @ 3:15PM vs OPEN

Lenape Middle School
313 W State Street
Doylestown, PA 18901
(267) 893-2800
The official website of Lenape Middle Indians Athletics