Pre-Participation Head Injury/Concussion Reporting Form for Fall Sports 2017
This form should be completed by the student's parent(s) or legal guardian(s). It must be submitted prior to the start of each season a student plans to participate in extracurricular athletics.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Date of Birth *
What grade are you in? *
What sport are you trying out for? *
Has the student ever experienced a traumatic blow to the head? *
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