As a Parent and as an Athlete it is important to recognize the signs, symptoms, and behaviors of concussions. Prior to completing the form below, located on the right, please watch the Concussions 101 Video or read the Concussion Info Sheets with your athlete.


 By signing this form, you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury.This form must be completed for every sports season and every youth athletic organization the athlete is involved with.

* - denotes required field