Please read the following questions and initial at the end.
*A concussion can affect a student-athlete’s ability to perform everyday activities, their ability to think, their balance, and their classroom performance.
*A concussion is a brain injury.
*I realize I cannot see a concussion, but I might notice some of the signs in a student-athlete right away. Other signs/symptoms can show-up hours or days after the injury.
*A concussion is a brain injury, which should be reported to my parents, my coach(es), or a medical professional if one is available.
*I will tell my parents, my coach, and/or a medical professional about my injuries and illnesses.
*If I think a teammate has a concussion, I should tell my coach(es), parents, or medical professional about the concussion.
*I will not return to play in a game or practice if a hit to my head or body causes any concussion-related symptoms.
*I realize that ER/Urgent Care physicians will not provide clearance if seen right away after the injury.
*I will/my child will need written permission from a medical professional trained in concussion management to return to play or practice after a concussion.
*Based on the latest data, most concussions take days or weeks to get better. A concussion may not go away right away. I realize that resolution from this injury is a process and may require more than one medical evaluation.
*After a concussion, the brain needs time to heal. I understand that I am/my child is much more likely to have another concussion or more serious brain injury if return to play or practice occurs before concussion symptoms go away.
*Sometimes, repeat concussions can cause serious and long-lasting problems.
*I have read the concussion symptoms on the Concussion Information Sheet.