Physical & Athletic Forms

These are the approved forms for the 2019-20 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

  2. You may email the high school secretary for information regarding the athletic physical forms.  
    Sheila Koch

  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

Nondiscrimination Policy

The Tipton Community School District does not discriminate in its educational programs and activities on the basis of a student's disability. It has been determined that your child has a qualifying disability for which accommodations may need to be made to meet his or her individual needs as adequately as the needs of other students.

The Tipton Community School District offers career and technical programs in the following service areas:

  • Business

  • Family and Consumer Science

  • Agriculture

  • Industrial Technology

  • Project Lead the Way


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), 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. 

Grievance Procedure

If you have questions or a grievance related to this policy please contact:
Dawn Siech, 
563-886-6121, 400 E 6th St, Tipton, IA 52772

Contact Us

Want to know more about the Tipton Community School District? Have a question? We'd love to hear from you! Fill out the form below and someone will be back in contact.


Have a more time-sensitive issue? Call us directly at one of the phone numbers to the right so we can help you immediately.

District: 563-886-6121

High School: 563-886-6027

Middle: 563-886-6025

Elementary: 563-886-6131

District Office & High School

400 East 6th Street

Tipton, Iowa 52772

Middle School

725 West 7th Street

Tipton, IA 52772

Elementary School

601 Lemon Street

Tipton, IA 52772

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