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Quick News
May 24 2012
NO SCHOOL ndash MONDAY MAY 28th
ndash MEMORIAL DAY
School Board Places Levy on the Ballot The Tipp City Board of Education approved a five year 795 mills Emergency tax levy to be placed on the ballot
at the August 7 2012 special election The State has cut $13 million out of Tipp City Schoolrsquos funding for this
past school year and the State will be cutting more in the upcoming school year Tipp City Schoolsrsquo will have a
decrease of $2934892 in state funding as compared to FY2011 and adding the additional loss of $240000 from
EdJobs and another State reduction of $312500 in State aid for FY2013 means Tipp City Schools will be working
with $3487392 less dollars than in FY2011 The need to balance the budget this year and future years requires
the District to make significant budget cuts and ask the community for more funding The Board of Education is
giving Tipp City Monroe Township residents an opportunity to decide if they want the District to make
additional cuts in staffing and programs or keep the level of staffing that we need to work towards our Excellent
rating The District has had Excellent ratings the last eight years out of ten and 6 years in a row This is the first
time in three years that the Board has asked the Tipp City School voters for new money For a list of the cuts and
impacts click here httpwwwtippcityschoolscomPage2951
Mrs Belinda Banks Hired as the Tippecanoe
High School Principal Tippecanoe High School Principal Chuck Wray will be stepping down
at the end of October after 35 years in education and 12 years as High
School Principal At the May 21st Tipp City Exempted Village Schools
Board of Education meeting his replacement was hired Mrs Belinda
Banks will be the new Tippecanoe High School Principal starting
August 1st She comes to Tipp City Schools with vast high school
experience ranging from teaching AP science classes-to her latest being
Assistant Principal at Fairborn High School Superintendent
Dr Kronour stated that the applicant pool was strong and he was happy to introduce Mrs Banks to the
Board of Education
Peg Osborn Received the OHSAA State Award for
Sportsmanship Ethics amp Integrity At the 2012 THS Senior Awards Program TMS Cross Country and Track Coach Peg Osborn
was honored with the OHSAA State Award for Sportsmanship Ethics amp Integrity Award
The Ohio High School Athletic Association has established an annual State Sportsmanship
Ethics and Integrity Award This person is honored for their exemplary contribution and
service to the school district Peg Osborn continually exemplified good sportsmanship was a
positive role model for others reflected a high level of ethics and integrity in dealing with
students and the interscholastic athletic programs a person who supports and demonstrates
positive values and has contributed to the well-being of the students at Tippecanoe High
School Mrs Osborn has coached over 51 seasons Congratulations
2012 Local Senior Awards-Summary
OHSAA Archie Griffin Award
Jenna Nelson and Alex Baker
OHSAA Courageous Student
Award
Darlene Reinhard
OHSAA Scholar Athlete Award
Nick DeNuzzo and Megan Wray
Three Season Participant
Anna Barhorst ndash Cross Country Ten Season Award Basketball and Track Ellise Sharpe ndash
Soccer -3
Volleyball -1
Basketball ndash 4
Track ndash 2
Tippecanoe Top Athlete Awards
Ellise Sharpe Brett Mackenzie
2012 Local Scholarships
MVCTC ndash Principal Award of Excellence
Ashley Lanham Austin Stalhood Joseph Turner
Phillip D Clawson Family Scholarship Community Minded Women
Ben Patzek Anna Kilpatrick
Thomas and Helen Kyle Scholarship Sarah Louise Merritt Scholarship
Megan Wray and Greg Lehmkuhl Julia Eastman
Elizabeth Spano Memorial Scholarship Tipp City Athletic Boosters Scholarship
Jenna Nelson Ellise Sharpe and Nick Muse
Tipp City Eagles Aerie 2201 Scholarships Tipp City Rotary Scholarships
Connor Thomas Katie Zellers Augusta Jenna Nelson and Ellise Sharpe
Grescowle and Chelsee MCCormick
Tipp City Seniors Scholarship Tipp City VFW Post 4615
Greg Lehmkuhl Terra Belair and Emilie Paulas
Tipp-Monroe OptimistsOctagon Scholarships Tippecanoe Steam Boosters
Jenna Nelson and Nick Denuzzo Bethany Feitshans
William and Mary Furlong Scholarship McKee Family Scholarship
Megan Wray Connor Thomas
Walter C and Lucile M Daniel John Hurtt Memorial Award
Ellise Sharpe Evan Bourelle
Otto and Isabel Frings Memorial Scholarship - $1500
Elizabeth Roth Ashley Mohler Kristen Blakey Nick Muse Jared Cole Katie Zellers Conner Thomas Jesse
Adams Jordan Hozfaster Emilie Paulas Tyler Turnbill Emily Mckowen Nick Hamberg Hannah Wilson and
Heidi Layman
GF amp Mamie Kessler Sholarship - $1500
Audrey Butler Bethany Feitshans Megan Wray Ellen Freeh Greg Lehmkuhl Sydney Flora Alexa Lammers
Ellise Sharpe Alex Baker and Hannah Walker
For more downloadable photos of the Senior Awards click here httptippcityschoolssmugmugcomOtherTHS-
Senior-Awards-5-201223133549_g5MTHti=1863536504ampk=23CW99H
THS Spring Choir Awards
Music Booster Scholarship Most Improved Concert Choir Member Outstanding Concert Member
Alexa Lammers Sarah Rhoades Tamara Reed
Lifesaver Award Anne Keppel Award National School Choral Award
Angela Grimm Megan Wray Alexa Lammers
Tears Laughter Songs--Then A Curtsy and A Bow
The last THS concert and symphonic choir concert of the season was also Ms Deb Bringmanrsquos last school concert
of her career Ms Bringman has been with Tipp City Schools for 31 years After the concert and symphonic choir
performed as a surprise The Gem City Chorus of Sweet Adelines appeared on stage and Ms Bringman
performed with the group The students enjoyed performing and witnessing Ms Bringman direct and sing
For downloadable photos click here httptippcityschoolssmugmugcomOtherTHS-Spring-Choir-Concert-
523134205_Rqn5Cwi=1863613098ampk=NP5MMP5
Weeding and Reseeding the Prairie Terry Lavy a conservationist affiliated with
Miami County Pheasants Forever taught a
group of high school students about invasive
species in Ohio The high school group
(comprised of Anglerrsquos Club members and
Earth Systems Students) then participated in
a removal effort of the invasive species found
in the Environmental Study Area The group
removed the following invasives Honey
Suckle Mares Tail Canada Thistle and
Garlic Mustard Mr Lavy also reseeded the
small prairie with a wildflowerprairie grass
mix that will not grow above 40 inches tall
The District is thankful for Mr Lavyrsquos
willingness to donate the time and resources
needed to manage a wonderful outdoor
educational center for our students
Tipp Baseball Team District Champions The Tippecanoe
High School
Baseball Team won
their second
consecutive District
Title with a 6-5 win
over Monroe Down
1-0 entering the
bottom of the sixth
inning the Red
Devils scored 4 runs
to take a
commanding 4-1
lead-only to see
Monroe score 4 runs
in the top of the 7th
Down to their last
out and a runner on
2nd
base Tipp rallied
with back-to-back
walks to load the
bases Steven
Calhoun then came through with a walk off base hit to score two runs and give Tipp the win The Devils are now
24-5 on the season and take on Cincinnati Wyoming this Thursday at 200 at the University of Dayton
THS Baseball Coach Bruce Cahill Co-Coach
of the Year For the fourth year in a row The Miami Valley Baseball Coaches Association has
chosen Tippecanoe High School Baseball Coach Bruce Cahill as Division II
Coach of the Year This season Cahill coached the Red Devils to their 17th
conference title
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
2012 Local Senior Awards-Summary
OHSAA Archie Griffin Award
Jenna Nelson and Alex Baker
OHSAA Courageous Student
Award
Darlene Reinhard
OHSAA Scholar Athlete Award
Nick DeNuzzo and Megan Wray
Three Season Participant
Anna Barhorst ndash Cross Country Ten Season Award Basketball and Track Ellise Sharpe ndash
Soccer -3
Volleyball -1
Basketball ndash 4
Track ndash 2
Tippecanoe Top Athlete Awards
Ellise Sharpe Brett Mackenzie
2012 Local Scholarships
MVCTC ndash Principal Award of Excellence
Ashley Lanham Austin Stalhood Joseph Turner
Phillip D Clawson Family Scholarship Community Minded Women
Ben Patzek Anna Kilpatrick
Thomas and Helen Kyle Scholarship Sarah Louise Merritt Scholarship
Megan Wray and Greg Lehmkuhl Julia Eastman
Elizabeth Spano Memorial Scholarship Tipp City Athletic Boosters Scholarship
Jenna Nelson Ellise Sharpe and Nick Muse
Tipp City Eagles Aerie 2201 Scholarships Tipp City Rotary Scholarships
Connor Thomas Katie Zellers Augusta Jenna Nelson and Ellise Sharpe
Grescowle and Chelsee MCCormick
Tipp City Seniors Scholarship Tipp City VFW Post 4615
Greg Lehmkuhl Terra Belair and Emilie Paulas
Tipp-Monroe OptimistsOctagon Scholarships Tippecanoe Steam Boosters
Jenna Nelson and Nick Denuzzo Bethany Feitshans
William and Mary Furlong Scholarship McKee Family Scholarship
Megan Wray Connor Thomas
Walter C and Lucile M Daniel John Hurtt Memorial Award
Ellise Sharpe Evan Bourelle
Otto and Isabel Frings Memorial Scholarship - $1500
Elizabeth Roth Ashley Mohler Kristen Blakey Nick Muse Jared Cole Katie Zellers Conner Thomas Jesse
Adams Jordan Hozfaster Emilie Paulas Tyler Turnbill Emily Mckowen Nick Hamberg Hannah Wilson and
Heidi Layman
GF amp Mamie Kessler Sholarship - $1500
Audrey Butler Bethany Feitshans Megan Wray Ellen Freeh Greg Lehmkuhl Sydney Flora Alexa Lammers
Ellise Sharpe Alex Baker and Hannah Walker
For more downloadable photos of the Senior Awards click here httptippcityschoolssmugmugcomOtherTHS-
Senior-Awards-5-201223133549_g5MTHti=1863536504ampk=23CW99H
THS Spring Choir Awards
Music Booster Scholarship Most Improved Concert Choir Member Outstanding Concert Member
Alexa Lammers Sarah Rhoades Tamara Reed
Lifesaver Award Anne Keppel Award National School Choral Award
Angela Grimm Megan Wray Alexa Lammers
Tears Laughter Songs--Then A Curtsy and A Bow
The last THS concert and symphonic choir concert of the season was also Ms Deb Bringmanrsquos last school concert
of her career Ms Bringman has been with Tipp City Schools for 31 years After the concert and symphonic choir
performed as a surprise The Gem City Chorus of Sweet Adelines appeared on stage and Ms Bringman
performed with the group The students enjoyed performing and witnessing Ms Bringman direct and sing
For downloadable photos click here httptippcityschoolssmugmugcomOtherTHS-Spring-Choir-Concert-
523134205_Rqn5Cwi=1863613098ampk=NP5MMP5
Weeding and Reseeding the Prairie Terry Lavy a conservationist affiliated with
Miami County Pheasants Forever taught a
group of high school students about invasive
species in Ohio The high school group
(comprised of Anglerrsquos Club members and
Earth Systems Students) then participated in
a removal effort of the invasive species found
in the Environmental Study Area The group
removed the following invasives Honey
Suckle Mares Tail Canada Thistle and
Garlic Mustard Mr Lavy also reseeded the
small prairie with a wildflowerprairie grass
mix that will not grow above 40 inches tall
The District is thankful for Mr Lavyrsquos
willingness to donate the time and resources
needed to manage a wonderful outdoor
educational center for our students
Tipp Baseball Team District Champions The Tippecanoe
High School
Baseball Team won
their second
consecutive District
Title with a 6-5 win
over Monroe Down
1-0 entering the
bottom of the sixth
inning the Red
Devils scored 4 runs
to take a
commanding 4-1
lead-only to see
Monroe score 4 runs
in the top of the 7th
Down to their last
out and a runner on
2nd
base Tipp rallied
with back-to-back
walks to load the
bases Steven
Calhoun then came through with a walk off base hit to score two runs and give Tipp the win The Devils are now
24-5 on the season and take on Cincinnati Wyoming this Thursday at 200 at the University of Dayton
THS Baseball Coach Bruce Cahill Co-Coach
of the Year For the fourth year in a row The Miami Valley Baseball Coaches Association has
chosen Tippecanoe High School Baseball Coach Bruce Cahill as Division II
Coach of the Year This season Cahill coached the Red Devils to their 17th
conference title
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
2012 Local Scholarships
MVCTC ndash Principal Award of Excellence
Ashley Lanham Austin Stalhood Joseph Turner
Phillip D Clawson Family Scholarship Community Minded Women
Ben Patzek Anna Kilpatrick
Thomas and Helen Kyle Scholarship Sarah Louise Merritt Scholarship
Megan Wray and Greg Lehmkuhl Julia Eastman
Elizabeth Spano Memorial Scholarship Tipp City Athletic Boosters Scholarship
Jenna Nelson Ellise Sharpe and Nick Muse
Tipp City Eagles Aerie 2201 Scholarships Tipp City Rotary Scholarships
Connor Thomas Katie Zellers Augusta Jenna Nelson and Ellise Sharpe
Grescowle and Chelsee MCCormick
Tipp City Seniors Scholarship Tipp City VFW Post 4615
Greg Lehmkuhl Terra Belair and Emilie Paulas
Tipp-Monroe OptimistsOctagon Scholarships Tippecanoe Steam Boosters
Jenna Nelson and Nick Denuzzo Bethany Feitshans
William and Mary Furlong Scholarship McKee Family Scholarship
Megan Wray Connor Thomas
Walter C and Lucile M Daniel John Hurtt Memorial Award
Ellise Sharpe Evan Bourelle
Otto and Isabel Frings Memorial Scholarship - $1500
Elizabeth Roth Ashley Mohler Kristen Blakey Nick Muse Jared Cole Katie Zellers Conner Thomas Jesse
Adams Jordan Hozfaster Emilie Paulas Tyler Turnbill Emily Mckowen Nick Hamberg Hannah Wilson and
Heidi Layman
GF amp Mamie Kessler Sholarship - $1500
Audrey Butler Bethany Feitshans Megan Wray Ellen Freeh Greg Lehmkuhl Sydney Flora Alexa Lammers
Ellise Sharpe Alex Baker and Hannah Walker
For more downloadable photos of the Senior Awards click here httptippcityschoolssmugmugcomOtherTHS-
Senior-Awards-5-201223133549_g5MTHti=1863536504ampk=23CW99H
THS Spring Choir Awards
Music Booster Scholarship Most Improved Concert Choir Member Outstanding Concert Member
Alexa Lammers Sarah Rhoades Tamara Reed
Lifesaver Award Anne Keppel Award National School Choral Award
Angela Grimm Megan Wray Alexa Lammers
Tears Laughter Songs--Then A Curtsy and A Bow
The last THS concert and symphonic choir concert of the season was also Ms Deb Bringmanrsquos last school concert
of her career Ms Bringman has been with Tipp City Schools for 31 years After the concert and symphonic choir
performed as a surprise The Gem City Chorus of Sweet Adelines appeared on stage and Ms Bringman
performed with the group The students enjoyed performing and witnessing Ms Bringman direct and sing
For downloadable photos click here httptippcityschoolssmugmugcomOtherTHS-Spring-Choir-Concert-
523134205_Rqn5Cwi=1863613098ampk=NP5MMP5
Weeding and Reseeding the Prairie Terry Lavy a conservationist affiliated with
Miami County Pheasants Forever taught a
group of high school students about invasive
species in Ohio The high school group
(comprised of Anglerrsquos Club members and
Earth Systems Students) then participated in
a removal effort of the invasive species found
in the Environmental Study Area The group
removed the following invasives Honey
Suckle Mares Tail Canada Thistle and
Garlic Mustard Mr Lavy also reseeded the
small prairie with a wildflowerprairie grass
mix that will not grow above 40 inches tall
The District is thankful for Mr Lavyrsquos
willingness to donate the time and resources
needed to manage a wonderful outdoor
educational center for our students
Tipp Baseball Team District Champions The Tippecanoe
High School
Baseball Team won
their second
consecutive District
Title with a 6-5 win
over Monroe Down
1-0 entering the
bottom of the sixth
inning the Red
Devils scored 4 runs
to take a
commanding 4-1
lead-only to see
Monroe score 4 runs
in the top of the 7th
Down to their last
out and a runner on
2nd
base Tipp rallied
with back-to-back
walks to load the
bases Steven
Calhoun then came through with a walk off base hit to score two runs and give Tipp the win The Devils are now
24-5 on the season and take on Cincinnati Wyoming this Thursday at 200 at the University of Dayton
THS Baseball Coach Bruce Cahill Co-Coach
of the Year For the fourth year in a row The Miami Valley Baseball Coaches Association has
chosen Tippecanoe High School Baseball Coach Bruce Cahill as Division II
Coach of the Year This season Cahill coached the Red Devils to their 17th
conference title
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Elizabeth Spano Memorial Scholarship Tipp City Athletic Boosters Scholarship
Jenna Nelson Ellise Sharpe and Nick Muse
Tipp City Eagles Aerie 2201 Scholarships Tipp City Rotary Scholarships
Connor Thomas Katie Zellers Augusta Jenna Nelson and Ellise Sharpe
Grescowle and Chelsee MCCormick
Tipp City Seniors Scholarship Tipp City VFW Post 4615
Greg Lehmkuhl Terra Belair and Emilie Paulas
Tipp-Monroe OptimistsOctagon Scholarships Tippecanoe Steam Boosters
Jenna Nelson and Nick Denuzzo Bethany Feitshans
William and Mary Furlong Scholarship McKee Family Scholarship
Megan Wray Connor Thomas
Walter C and Lucile M Daniel John Hurtt Memorial Award
Ellise Sharpe Evan Bourelle
Otto and Isabel Frings Memorial Scholarship - $1500
Elizabeth Roth Ashley Mohler Kristen Blakey Nick Muse Jared Cole Katie Zellers Conner Thomas Jesse
Adams Jordan Hozfaster Emilie Paulas Tyler Turnbill Emily Mckowen Nick Hamberg Hannah Wilson and
Heidi Layman
GF amp Mamie Kessler Sholarship - $1500
Audrey Butler Bethany Feitshans Megan Wray Ellen Freeh Greg Lehmkuhl Sydney Flora Alexa Lammers
Ellise Sharpe Alex Baker and Hannah Walker
For more downloadable photos of the Senior Awards click here httptippcityschoolssmugmugcomOtherTHS-
Senior-Awards-5-201223133549_g5MTHti=1863536504ampk=23CW99H
THS Spring Choir Awards
Music Booster Scholarship Most Improved Concert Choir Member Outstanding Concert Member
Alexa Lammers Sarah Rhoades Tamara Reed
Lifesaver Award Anne Keppel Award National School Choral Award
Angela Grimm Megan Wray Alexa Lammers
Tears Laughter Songs--Then A Curtsy and A Bow
The last THS concert and symphonic choir concert of the season was also Ms Deb Bringmanrsquos last school concert
of her career Ms Bringman has been with Tipp City Schools for 31 years After the concert and symphonic choir
performed as a surprise The Gem City Chorus of Sweet Adelines appeared on stage and Ms Bringman
performed with the group The students enjoyed performing and witnessing Ms Bringman direct and sing
For downloadable photos click here httptippcityschoolssmugmugcomOtherTHS-Spring-Choir-Concert-
523134205_Rqn5Cwi=1863613098ampk=NP5MMP5
Weeding and Reseeding the Prairie Terry Lavy a conservationist affiliated with
Miami County Pheasants Forever taught a
group of high school students about invasive
species in Ohio The high school group
(comprised of Anglerrsquos Club members and
Earth Systems Students) then participated in
a removal effort of the invasive species found
in the Environmental Study Area The group
removed the following invasives Honey
Suckle Mares Tail Canada Thistle and
Garlic Mustard Mr Lavy also reseeded the
small prairie with a wildflowerprairie grass
mix that will not grow above 40 inches tall
The District is thankful for Mr Lavyrsquos
willingness to donate the time and resources
needed to manage a wonderful outdoor
educational center for our students
Tipp Baseball Team District Champions The Tippecanoe
High School
Baseball Team won
their second
consecutive District
Title with a 6-5 win
over Monroe Down
1-0 entering the
bottom of the sixth
inning the Red
Devils scored 4 runs
to take a
commanding 4-1
lead-only to see
Monroe score 4 runs
in the top of the 7th
Down to their last
out and a runner on
2nd
base Tipp rallied
with back-to-back
walks to load the
bases Steven
Calhoun then came through with a walk off base hit to score two runs and give Tipp the win The Devils are now
24-5 on the season and take on Cincinnati Wyoming this Thursday at 200 at the University of Dayton
THS Baseball Coach Bruce Cahill Co-Coach
of the Year For the fourth year in a row The Miami Valley Baseball Coaches Association has
chosen Tippecanoe High School Baseball Coach Bruce Cahill as Division II
Coach of the Year This season Cahill coached the Red Devils to their 17th
conference title
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
William and Mary Furlong Scholarship McKee Family Scholarship
Megan Wray Connor Thomas
Walter C and Lucile M Daniel John Hurtt Memorial Award
Ellise Sharpe Evan Bourelle
Otto and Isabel Frings Memorial Scholarship - $1500
Elizabeth Roth Ashley Mohler Kristen Blakey Nick Muse Jared Cole Katie Zellers Conner Thomas Jesse
Adams Jordan Hozfaster Emilie Paulas Tyler Turnbill Emily Mckowen Nick Hamberg Hannah Wilson and
Heidi Layman
GF amp Mamie Kessler Sholarship - $1500
Audrey Butler Bethany Feitshans Megan Wray Ellen Freeh Greg Lehmkuhl Sydney Flora Alexa Lammers
Ellise Sharpe Alex Baker and Hannah Walker
For more downloadable photos of the Senior Awards click here httptippcityschoolssmugmugcomOtherTHS-
Senior-Awards-5-201223133549_g5MTHti=1863536504ampk=23CW99H
THS Spring Choir Awards
Music Booster Scholarship Most Improved Concert Choir Member Outstanding Concert Member
Alexa Lammers Sarah Rhoades Tamara Reed
Lifesaver Award Anne Keppel Award National School Choral Award
Angela Grimm Megan Wray Alexa Lammers
Tears Laughter Songs--Then A Curtsy and A Bow
The last THS concert and symphonic choir concert of the season was also Ms Deb Bringmanrsquos last school concert
of her career Ms Bringman has been with Tipp City Schools for 31 years After the concert and symphonic choir
performed as a surprise The Gem City Chorus of Sweet Adelines appeared on stage and Ms Bringman
performed with the group The students enjoyed performing and witnessing Ms Bringman direct and sing
For downloadable photos click here httptippcityschoolssmugmugcomOtherTHS-Spring-Choir-Concert-
523134205_Rqn5Cwi=1863613098ampk=NP5MMP5
Weeding and Reseeding the Prairie Terry Lavy a conservationist affiliated with
Miami County Pheasants Forever taught a
group of high school students about invasive
species in Ohio The high school group
(comprised of Anglerrsquos Club members and
Earth Systems Students) then participated in
a removal effort of the invasive species found
in the Environmental Study Area The group
removed the following invasives Honey
Suckle Mares Tail Canada Thistle and
Garlic Mustard Mr Lavy also reseeded the
small prairie with a wildflowerprairie grass
mix that will not grow above 40 inches tall
The District is thankful for Mr Lavyrsquos
willingness to donate the time and resources
needed to manage a wonderful outdoor
educational center for our students
Tipp Baseball Team District Champions The Tippecanoe
High School
Baseball Team won
their second
consecutive District
Title with a 6-5 win
over Monroe Down
1-0 entering the
bottom of the sixth
inning the Red
Devils scored 4 runs
to take a
commanding 4-1
lead-only to see
Monroe score 4 runs
in the top of the 7th
Down to their last
out and a runner on
2nd
base Tipp rallied
with back-to-back
walks to load the
bases Steven
Calhoun then came through with a walk off base hit to score two runs and give Tipp the win The Devils are now
24-5 on the season and take on Cincinnati Wyoming this Thursday at 200 at the University of Dayton
THS Baseball Coach Bruce Cahill Co-Coach
of the Year For the fourth year in a row The Miami Valley Baseball Coaches Association has
chosen Tippecanoe High School Baseball Coach Bruce Cahill as Division II
Coach of the Year This season Cahill coached the Red Devils to their 17th
conference title
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Lifesaver Award Anne Keppel Award National School Choral Award
Angela Grimm Megan Wray Alexa Lammers
Tears Laughter Songs--Then A Curtsy and A Bow
The last THS concert and symphonic choir concert of the season was also Ms Deb Bringmanrsquos last school concert
of her career Ms Bringman has been with Tipp City Schools for 31 years After the concert and symphonic choir
performed as a surprise The Gem City Chorus of Sweet Adelines appeared on stage and Ms Bringman
performed with the group The students enjoyed performing and witnessing Ms Bringman direct and sing
For downloadable photos click here httptippcityschoolssmugmugcomOtherTHS-Spring-Choir-Concert-
523134205_Rqn5Cwi=1863613098ampk=NP5MMP5
Weeding and Reseeding the Prairie Terry Lavy a conservationist affiliated with
Miami County Pheasants Forever taught a
group of high school students about invasive
species in Ohio The high school group
(comprised of Anglerrsquos Club members and
Earth Systems Students) then participated in
a removal effort of the invasive species found
in the Environmental Study Area The group
removed the following invasives Honey
Suckle Mares Tail Canada Thistle and
Garlic Mustard Mr Lavy also reseeded the
small prairie with a wildflowerprairie grass
mix that will not grow above 40 inches tall
The District is thankful for Mr Lavyrsquos
willingness to donate the time and resources
needed to manage a wonderful outdoor
educational center for our students
Tipp Baseball Team District Champions The Tippecanoe
High School
Baseball Team won
their second
consecutive District
Title with a 6-5 win
over Monroe Down
1-0 entering the
bottom of the sixth
inning the Red
Devils scored 4 runs
to take a
commanding 4-1
lead-only to see
Monroe score 4 runs
in the top of the 7th
Down to their last
out and a runner on
2nd
base Tipp rallied
with back-to-back
walks to load the
bases Steven
Calhoun then came through with a walk off base hit to score two runs and give Tipp the win The Devils are now
24-5 on the season and take on Cincinnati Wyoming this Thursday at 200 at the University of Dayton
THS Baseball Coach Bruce Cahill Co-Coach
of the Year For the fourth year in a row The Miami Valley Baseball Coaches Association has
chosen Tippecanoe High School Baseball Coach Bruce Cahill as Division II
Coach of the Year This season Cahill coached the Red Devils to their 17th
conference title
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Weeding and Reseeding the Prairie Terry Lavy a conservationist affiliated with
Miami County Pheasants Forever taught a
group of high school students about invasive
species in Ohio The high school group
(comprised of Anglerrsquos Club members and
Earth Systems Students) then participated in
a removal effort of the invasive species found
in the Environmental Study Area The group
removed the following invasives Honey
Suckle Mares Tail Canada Thistle and
Garlic Mustard Mr Lavy also reseeded the
small prairie with a wildflowerprairie grass
mix that will not grow above 40 inches tall
The District is thankful for Mr Lavyrsquos
willingness to donate the time and resources
needed to manage a wonderful outdoor
educational center for our students
Tipp Baseball Team District Champions The Tippecanoe
High School
Baseball Team won
their second
consecutive District
Title with a 6-5 win
over Monroe Down
1-0 entering the
bottom of the sixth
inning the Red
Devils scored 4 runs
to take a
commanding 4-1
lead-only to see
Monroe score 4 runs
in the top of the 7th
Down to their last
out and a runner on
2nd
base Tipp rallied
with back-to-back
walks to load the
bases Steven
Calhoun then came through with a walk off base hit to score two runs and give Tipp the win The Devils are now
24-5 on the season and take on Cincinnati Wyoming this Thursday at 200 at the University of Dayton
THS Baseball Coach Bruce Cahill Co-Coach
of the Year For the fourth year in a row The Miami Valley Baseball Coaches Association has
chosen Tippecanoe High School Baseball Coach Bruce Cahill as Division II
Coach of the Year This season Cahill coached the Red Devils to their 17th
conference title
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Congratulations to the following Red Devil Varsity Baseball
Players for receiving CBC and All-Miami Valley recognition
Pictured are the Central Buckeye Conference 1st team
with Carter Langdon Ben Hughes Steven Calhoun
Zack Blair Cameron Johnson and Austin Hadden
CBC Honorable Mention was Miami Valley Baseball Coaches Assn CBC Sportsmanship Award
Cole Quillen Special Mention Nick Muse Kyle Peura
Miami Valley Baseball Coaches Miami Valley Baseball Coaches
Assn ndash 1st team Assn ndash 2
nd team Austin Hadden
Carter Langdon and Ben Hughes
Player of the Year in the Kenton Trail Division
Carter Langdon
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Bullseye
The Middle School
physical education classes
have been studying archery
When driving by the
middle school you may
have noticed targets on the
lawn The students are
using safety tipped arrows
and will be competing in
the ldquoHunger Games Field
Dayrdquo on the last day
school
STEM Club Tour DARE Electronics
Members of the Tippecanoe Class of 2016 STEM Club recently toured
the facilities of long-time local company DARE Electronics on CoRd
25A Company president Karen Beagle informed them about the
specialized electronic components manufactured there Most of the parts
are used in military aircrafts which requires a high degree of quality
control and parts must often be adapted to extreme conditions of
vibration shock and temperature Some older crafts require duplication
of existing replacement parts originally manufactured by companiesrsquo no
longer in business Students learned about electrical engineering
material science chemistry and technical drafting
Students taking part in the tour are pictured (L to R) Brandon Bischoff
Hannah Lowe
Allison Chitwood Samantha Rowland Anna Klepinger Joey Hodge
Adam Buynak
These students are part of a group interested in science technology
engineering and mathematics who meet outside of school about once a
month for STEM related field trips
LT Math Games LT Ball 5
th
graders got
mathematically
creative They
invented their
own math games
to share with
other students
The fifth grade
students created
the games to help
reinforce math
skills they
learned this year
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
LT Ball ndash Wax Museum
LT Ballrsquos Fifth Graders put together their Annual Wax Museum Students had to read about a famous person
then dress like them It is part of the state standards for literary text and research writing For more downloadable
photos click here httptippcityschoolssmugmugcomOtherWAX-MUSEUM-5th-
graders23045391_7c3zSQi=1854157446ampk=KLCtbzb
LT Ball Students Collects Big for Tab-A-Pull-Ooza Last Saturday May 19
th
64 participants from the
Miami Valley community
pulled together for the
Dayton Ronald McDonald
House They filled a
commercial sized dumpster
with over 6000 pounds of
pull tabs raising $4000 to
help the House continue its
mission of providing a
home-away-from-home to
families of hospitalized
children Tammy Green
from LT Ball worked with the students all year long-and they managed to collect 212 pounds tabs
Next Year Will Be Awesomehellip
3
rd graders from
Broadway and Nevin
Coppock Elementary
toured LT Ball
Intermediate school to
get the lay of the land
Mrs Patterson and Mrs
Conley welcomed the
students and oriented
them for next year For
downloadable photos
click here httptippcityschoolssmugmugcomOtherMath-Games-
LT23139144_Mk4CFfi=1864060559ampk=FjfqVvb
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Tipp CityhellipA Look At The Past Nevin Coppock Third
Graders put on their Spring
Musical They took the
audience through the history
of Tipp City It was a great
musical way to learn about
Tipp City
For more downloadable
photos click here
httptippcityschoolssmugmugcomOtherNevin-Coppock-3rd-Grade-
Spring23137183_NpQ37gi=1863927821ampk=dPQf6rQ
Why My Teacher Is An A+ Teacher Mrs Adkins third grade class was given a pizza party from Alverto Orthodontics Office
thanks to Emma Marlowe Students from all schools in Miami County could enter the
contest by writing an essay about their teacher Emma Marlow wrote an essay and her
essay was chosen first place over all the entries The class was thankful for the pizza party
Nevin Coppock Art Show
Mrs Kleinrsquos art classes exhibited their
artwork to a packed house on Tuesday
evening Critics gave grades Kindergarten
through 3rd
rave reviews about their work
Thank You For Volunteering
Nevin Coppock and Broadway Elementary held their annual volunteer breakfast and luncheon thanking
over 200 volunteers for their hard work throughout the year The schools appreciate all of your hard
work
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Job Openings 1-2 part-time teachers for afterschool program
Job Description TCEP is looking for energetic and creative people
who are passionate about working with children We are looking for 1-
2 teachers for our K-6th grade afterschool program The hours will be
from 230-530 or 6 oclock Monday through Friday--with extra hours
during early dismissal days along with days the schools are closed
Starting Salary $1000hour
Starting Dates August 2012
Contact Information If you are interesting in applying please contact
Melissa Price at the TCEP office at 937-667-8800 or drop by the TCEP office
Tipp City Exempted Village Schoolsrsquo website wwwtippcityschoolscom is full of important
information Please go there often to stay updated on the district and your childrsquos schoolsrsquo happenings
For athletic results go to wwwcbcsportsonlinecom
Tippecanoe High School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-High-School-Tipp-City-OH
Tippecanoe Middle School athletic schedules are available at
wwwhighschoolsportsnetschoolTippecanoe-Middle-School-Tipp-City-OH
KIT-TV is now streaming the Board of Education Meetings and other Tipp City School activities on line
To view go to wwwkittvorg
To unsubscribe to Quick News please send an email with ldquounsubscriberdquo in the subject line to
sbrownleetippcityk12ohus
Sports physicals at the High School will be Saturday June 2 2012 from 830 am ndash 1030 am You
must call the Athletic Office at 937-669-6364 to schedule your appointment
Please have forms completed upon your arrival You can get your physical amp Hippa form at
httpwwwohsaaorgmedicinePreparticipationPhysicalEvaluationpdf
You will also need to have an updated Emergency Medical Form completed
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
TIPP CITY EXEMPTED VILLAGE SCHOOLS EMERGENCY MEDICAL
AUTHORIZATION
Name Age Phone
Address
PURPOSE To enable parents to authorize emergency treatment for children who become ill or injured while under school
authority when parents cannot be reached
PART I OR II MUST BE COMPLETED
PART I TO GRANT CONSENT
In the event reasonable attempts to contact me at (phone no) or
(Other parent) at (phone no) have been unsuccessful I hereby give my consent for (1) the
administration of any treatment deemed necessary by Dr (Preferred physician)
or Dr
(Preferred dentist) or in the event the designated preferred practitioner is not
available by another licensed physician or dentist and (2) the transfer of the child to
(preferred hospital) or any hospital reasonably accessible
Insurance Co Policy No
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists
concurring in the necessity for such surgery are obtained BEFORE the surgery IS PERFORMED
IMPORTANT
Please list any health problems that might be significant to a physician evaluating your child in case of an emergency
Please list any allergies to medications etc
Does student suffer from asthma diabetes or epilepsy (Check any that apply)
Has the student been prescribed an inhaler or EpiPen
Is student presently taking medication If so what type
Does student wear contact lenses Please list date of last tetanus shot
DATE Signature of Parent
Address
DO NOT COMPLETE PART II IF YOU COMPLETED PART I
PART II - REFUSAL TO CONSENT
I do NOT give my consent for emergency medical treatment of my child In the event of illness or injury requiring
emergency treatment I wish the school authorities to take no action or to
DATE Signature of Parent
Address
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Tippecanoe Football Football Mini-Camp
(Non-Contact Camp for 2012-13 Freshmen-8th Grade-7th Grade Football Players)
Mon-Tues-Wed-Thurs
July 16-17-18-19 (Make-UpRaindate will be July 20)
100 pm to 300 pm for July 16-17-19
1000 am to 12 Noon on July 18 ONLY
Tippecanoe High School
Practice Field (Behind the High School)
This year there is a $35 fee which includes instruction by the Varsity Football Staff T-Shirt and a
Gatorade each camp day Please detach the form below and return to Coach Burgbacher
Tippecanoe High School 615 E Kessler-Cowlesville Rd Tipp City OH 45371 Checks should be
made out to Tippecanoe Athletic Department Any questions feel free to contact Coach Burgbacher
at 667-8448 ext 2782 or at home 667-5952 You may also contact Coach Burgbacher via email at
clburgbachertippcityk12ohus
(Please Try to Return Before July 6th 2012)
Playerrsquos Name_________________________________
Grade for Fall of 2012___________
Shirt Size (circle size) Adult S M L XL XXL
Waiver I will hereby waive the Tippecanoe Mini-Camp the Coaches and Tippecanoe High School of any liability for injury incurred while
participating or on Tippecanoe High School Property
ParentGuardian Signature __________________________________ Date________
Emergency Contact No___________________ Alternate No____________________
Rev 050412
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Tippecanoe Youth Basketball Camp Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be in 2nd
or 3rd
grade 8am ndash 10am
Going to be in 4th
or 5th
grade 10am ndash 12pm
Cost $75 (Due May 18th
) Registration received after the 18
th may not receive a basketball or t-shirt
This is the 7th
year of our youth basketball camp It focuses on
fundamentals that beginning athletes need to improve They will
receive training in small groups with an emphasis on performing
skills correctly
All campers will receive
Daily Skills Instruction
Official camp T-shirt
Camp Basketball
Fill out the application on the reverse side and return it to reserve your spot
Cut here and keep as a reminder
Dates Mon June 4th - Thurs June 7th
Place LT Ball Intermediate School Tipp City Ohio
Ages Boys and Girls grades 2-5 (20122013 school year)
Hours Going to be 2nd or 3rd graders 8am ndash 10am
Going to be 4th or 5th graders 10am ndash 12pm
Any Question Call Coach Jackson (937) 667-6216
Or email ajacksontippcityk12ohus
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Tippecanoe Basketball Camp Application
(Please PRINT and fill in all of the blanks completely)
Camper Name_______________________________ Age____________ Grade Going into the __________ grade for 12-13 school year
Address________________________ City___________ Zip__________ Phone __________________ School____________________________ Email_______________________________________________________
The camp assumes no responsibility for accidents or illness In case of injury the camperrsquos personal insurance company is the company in the claim ParentGuardian Authorization I hereby authorize my child or ward to be admitted to the Tippecanoe youth basketball camp and that the staff act for me according to their best judgment in any emergency requiring medical attention Signature ___________________________________________________ In case of emergency contact______________________________ Phone _____________________________________________________
Primary Physicianrsquos Name and Phone ____________________________________________________________ ____________________________________________________________
Please Feel Free to Make Copies and Give to Friends Family andor
Teammates that would like to come to Camp
Payment Please make checks payable and mail to Tippecanoe Basketball
223 West Broadway Tipp City Ohio 45371 Call Coach Jackson (937) 667-6216 with questions
Full Payment required to reserve a spot in the camp by May 18th
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
Tippecanoe Volleyball Camp Registration
If you are registering more than one student please fill out multiple forms one for each student Early registration due JUNE
11th to ensure a T-SHIRT Late registration or registration at the door will be accepted but T-shirt is not guaranteed
PLAYER INFO Name
Current School Grade in 2012-2013
CONTACT INFO
Parent Name(s) Phone
Email Emergency Phone
Street Address City Zip
EMERGENCY MEDICAL SECTION
In the event reasonable attempts to contact me have been unsuccessful I hereby give my consent for the administration of any
treatment deemed necessary by the medical providers listed below
Physician Phone
RELEASE amp WAIVER OF LIABILITY SECTION I the undersigned as a parentguardian of
a minor ask that shehe be admitted to participate in Tippecanoe Volleyball Camp My child is physically fit to
participate in the volleyball camp and I do agree to comply with the rules and regulations that will be set forth at the camp I
do agree to release discharge and hold harmless Tipp City Schools their officers agents and employees of and from all
causes liabilities claims damages or demands whatsoever on account of any injury or accident involving said minor during
minorrsquos attendance and participation in the Tippecanoe Volleyball Camp
ParentGuardian Signature Date
PURPOSE To offer quality
instruction and practice time for all skill
levels in the support of the volleyball
program to provide a competitive
atmosphere and to create a learning
experience that is fun and friendly For more information please email Coach
Dedrick adedricktippcityk12ohus
WHO Any female student Grades 5-8
WHEN July 9 - 12
WHAT 5th amp 6th Grade 8am-10am
7th amp 8th Grade 10am-Noon
WHERE Tippecanoe High School Gym
REGISTRATION INFO Cost $6000 before June 11 (Includes cost of T-shirt)
$7500 After June 11th
(T-shirt not guaranteed)
Checks made payable to Tippecanoe Athletic
Department Complete the form below
detach and turn in to the LT Ball Intermediate
School Office or the Middle School Office
along with payment
Or mail registration and payment to Alexis Dedrick Tippecanoe High School
615 E Kessler-Cowlesville Rd
Tipp City OH 45371
