This electronic form should be completed with the student and the parent/guardian together, as the concussion information is extremely important and should be discussed as a family unit.
If you have any questions, please email Kathryn.Patrick@ct.gov or call 203-578-8790.
Kathryn Patrick, Athletic Director
PLEASE REVIEW THIS LINK BEFORE COMPLETING THE FORM: DO NOT TAKE THE QUIZ ON THE LINK! YOU MUST COME BACK TO THIS PAGE, SCROLL DOWN PAST THE KAYNOR LOGO AND THEN TAKE THE QUIZ AND DO THE SIGN OFF FROM THIS PAGE!