Tipton-Rosemark Academy

Bound for College.  Prepared for Life.

Athletic Forms

Athletic Forms

Sports Physical Information

Athletic Pass Form

Athletic Sponsorship Form

Letter Jacket Order Form

Pre-Participation Physical Exams

In accordance to TSSAA rules, all student athletes must have a valid physical examination on file with the Athletic Director prior to any participation in athletics.

Physicals are valid from April 15 through the last day of school of the following year.

Physicals must be performed by one of the following: Medical Doctor, Family Nurse Practitioner, or Physicians Assistant.

Physical Forms must be completed prior to the first scheduled practice or try out.

Campbell Clinic offers physicals at the Germantown location once a year - typically held in early May each year.

We will continue to use the online process for completing the TSSAA required forms for sport participation, called e-PPE® (electronic Pre-Participation Evaluation), e-PPE® replaces the paper-based forms. All athletes grade 5-12 for the 2017-2018 school year are required to register and complete the on line forms PRIOR to their athletic physicals. We will not be able to accept any physicals that are not completed through the E-PPE process. Please allow time prior to your student's physical to complete the necessary online forms. A detailed step by step process is outlined here. Please note that all physicals from 2016-2017 school year will be out of date as of the last day of school. To participate in any practice, workout or athletic event after the last day of school the student will need a physical dated after April 15, 2016 on the new forms through the E-PPE process.

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©2016 Tipton Rosemark Academy. All Rights Reserved.
8696 Rosemark Rd., Millington, TN 38053
Phone: (901) 829-6500
Fax: (901) 829-4292