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Physical & Athletic Forms

These are the approved forms for the current school year. Please read each section carefully to determine which files you will need to download and complete for your child/children in the current school year. 

  1. You may email the school nurse for information regarding the physical forms.  
    Heather Sloma-Weber
    heather.sloma-weber@tipton.k12.ia.us
     

  2. You may email Diane Wehde at the District Office regarding the athletic physical forms.  
    Diane Wehde - Administrative Assistant

    diane.wehde@tipton.k12.ia.us
     

  3. Your child's athletic coach can answer any questions you may have about the forms required for sports participation. Please see the Athletics section in either the Middle School or High School area of the website.

Grade-Specific Physical & Screening Forms
Dental Screening

State law mandates that children entering both Kindergarten and 9th grade complete a dental screening. This form should be filled out by your dental office.

Pre-School Physical

Use this form for children entering preschool. Physicals done within 12 months of school starting are acceptable.

Kindergarten Physical

Please use this form for children entering kindergarten.  Physicals done within 12 months of school starting are acceptable.

Grades 3, 6, 9 School Physical

A physical is requested for children entering 3rd, 6th, and 9th grades.

Grades K & 3 Vision Screening Form

For students entering Kindergarten and 3rd Grade

Athletic Forms & Releases
Athletics-Forms

It is the policy of the Tipton Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), actual or potential family, parental or marital status,  (for programs), sexual orientation, gender identity, and socioeconomic status (for programs) in its educational programs and its employment practices. There is a grievance procedure for processing complaints of discrimination. If you have questions or a grievance related to this policy please contact: Dawn Siech, dawn.siech@tipton.k12.ia.us, 563-886-6121, 400 E 6th St, Tipton, IA 52772.

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