2020 SWE Autoglass Chargers Registration
Player's Name (First and Last) *
Your answer
Concussion Protocol
1. If a player is suspecting by a coach of having a concussion or head injury, they will be removed from practice or the game and not allowed to return.
2. If a player suspects that they have received a concussion or head injury, they have a duty to report to their coach. They player will be removed from the game and not allowed to return.
3. Once a player is suspected of having a concussion, they will need to see a Doctor and obtain a doctor's note before beginning Return to Play.
4. There will be a minimum of ONE WEEK between suspected concussions and returning to full contact. This means that if are suspected to have a concussion in a Monday practice, you will NOT be able to play in that week's game.
5. All SWE Autoglass Chargers coaches will be Safe Contact Certified.

The SWE Autoglass Chargers believe in player safety above all else
Return to Play Steps
1. Player can return to practice once they have received a Doctor's note.
2. Player will first be introduced to light activities (such as warm up and jogging). If they player and coach agree that the player shows no post-concussion symptoms, they may move to the following step.
3. Player will be introduced to strenuous activity (sprints, conditioning). If they player and coach agree that the player shows no post-concussion symptoms, they may move to the following step.
4. Player will be introduced to light contact (against bags). If they player and coach agree that the player shows no post-concussion symptoms, they may move to the following step.
5. Player will be introduced to moderate contact (thud, against non-moving target). If they player and coach agree that the player shows no post-concussion symptoms, they may move to the following step.
6. Player will be reintegrated into full contact.
Concussion and Return to Play Protocol *
Grade *
Elementary School *
Returning Player *
If Yes, Jersey #
Your answer
Previous Injuries/Allergies/Medical etc. *
Your answer
Parent's Name *
Your answer
Cell Phone # *
Your answer
Parent Email *
Your answer
Parent #2 Name
Your answer
Parent #2 Phone Number
Your answer
Parent #2 Email
Your answer
Graduation and Grade 8 Trip Dates
Your answer
Special Requests/Comments/Other Information
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy