In compliance with current sports safety laws and in the interest of participant well-being, this form serves as disclosure and confirmation of your awareness regarding concussions and head injuries. Please review the information below, acknowledge your understanding, and provide consent for your child's participation.
Concussion Information
A concussion is a type of traumatic brain injury caused by a bump, blow, or jolt to the head or body that causes the head and brain to move rapidly back and forth. Concussions can have serious short- and long-term health effects.
Possible signs and symptoms include headache, confusion, dizziness, nausea, and memory loss.
It is important to report all concussions to a coach, trainer, or staff immediately.
Participants should not return to sports activities until evaluated and cleared by a qualified medical professional.