Please read the agreement below, then either digitally sign below and send the form – or download the PDF version for mail or hand delivery.
I, the parent/guardian of the student listed below, acknowledge that I have received information on all of the following:
- The definition of a concussion
- The signs and symptoms of a concussions to observe for or that may be reported by my athlete
- How to help my athlete prevent a concussion
- What to do if my athlete has a concussion, specifically, to seek medical attention immediately, keep my athlete out of play, tell the coach about a recent concussion, and report any concussion and/or symptoms to the school nurse.