SSL Certificate

PIAA Forms

All students who wish to participate in the Athletics Program at Villa Joseph Marie must submit SECTION 6 of the PIAA Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE) from the Pennsylvania Interscholastic Athletic Association (PIAA).

No prospective student-athlete may participate in tryouts/practices/contests until the proper CIPPE form is completed and handed in—NO EXCEPTIONS WILL BE MADE.

  • *Please note—The PIAA Comprehensive Initial Pre-Participation Evaluation forms are NOT the same forms as those required for all new students entering Villa.*
  • SECTION 6 must be completed by an Authorized Medical Examiner (AME).
  • **Also note--Section 6 of the CIPPE evaluation must be conducted and dated on or after June 1, 2017 in order for the evaluation to be deemed valid by the PIAA
  • The SECTION 6 form must be the most up-to-date version (Revised: March 17, 2016). A link to the correct/acceptable form is below.


  • Section 6 is for athletes who have not yet participated in VJM athletics during the 2017-2018 school year
  • Section 7 is the parent re-certification for those who have already participated in VJM athletics for the 2017-2018 school year
  • Section 8 must be completed for any student who required medical treatment from a licensed physician of medicine or osteopathic medicine after previously turning in her section 6

 To print the documents, please click on the desired link below:


CIPPE SECTION 7 (only for Winter or Spring seasons if you participated in a Fall sport)

CIPPE SECTION 8 (only for Winter or Spring seasons if you sustained an injury or serious illness that required medical attention. It must be submitted with section 7)






Athletics Office

Becky Flynn Hensel
Athletic Director
215-357-8810 ext. 125

Marissa Brown
Athletic Scheduling Coordinator
215-357-8810 ext. 198

Amy Barr
Trainer/Game Day Manager
215-357-8810 ext. 222

Villa Joseph Marie High School

1180 Holland Road, Holland, PA 18966


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