Athletic Forms

PHYSICAL FORMS

  Section 5 & 6: PIAA Physical Form and Health History
  Must be completed and submitted by every Butler Area School District student athlete to the Athletic Office with your athletic fee prior to any practice or competition.
   
  Section 7:  PIAA Recertification by Parent/Guardian
  Must be filled out in its entirety and returned to the athletic office prior to any practice or competition.  Only for student athletes who participated in a Butler Area School District sport in a previous season this school year.
   
  Section 8: PIAA Recertification by Licensed Physician of Medicine or Osteopathic Medicine
  Must be filled out in its entirety if your child was injured after the Section 6 physical was performed.  This is the clearance form a doctor must fill out on your child's behalf in order for the student athlete to return to play from an injury.
   

HOME SCHOOL / CYBER SCHOOL ELIGIBILITY FORMS

  Home School Eligibility Form
 

Must be completed and turned in to the athletic office once a week during the sports season. 
Click here to email your weekly form

   
  Cyber Charter School Eligibility Form
 

Must be completed and turned in to the athletic office once a week during the sports season
Click here to email your weekly form

   

STUDENT ATHLETE HANDBOOK

   

ATHLETIC FEE REFUND

 

A request for refund must be made in writing (or on this form) and forwarded to the Athletic Director of the Butler Area School District on or before June 1 of th school year in which the athletic fee was paid.  If the request is approved, please allow 4-6 weeks for return.

Click here to send a refund request

   

BASD ATHLETIC HALL OF FAME

  BASD Athletic Hall of Fame Nomination Form.  Please use this form to nominate a Butler athlete for the Athletic Hall of Fame.  Note: Eligibility for nomination cannot be granted for a minimum of ten years following graduation.
   

BASD ATHLETIC DISCLOSURE FORMS

  report     2017-2018 Athletic Disclosure Form

 

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