Medical Expense and Concussion Awareness Form - Spring 2017
What is your athlete's first name?
Your answer
What is your athletes last name?
Your answer
What is your athlete's age?
Your answer
What grade is your athlete in?
Your answer
What sport is your student planning to participate in this season?
I understand that I am responsible for any medical expenses associated with participating in all athletic programs at Christiansburg High School.
I am aware of the Student Accident Insurance plan available through the school?
I have received information concerning concussion/traumatic brain injury?
By typing my name in the below box, I acknowledge that I have I read, understand, and answered the above questions accurately and honestly.
Your answer
Date (below)
Your answer
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