Medical Expense and Concussion Awareness Form - 2017-18
What is your athlete's first name?
What is your athletes last name?
What is your athlete's age?
What grade is your athlete in?
What sport is your student planning to participate in this season?
Indoor Track & Field
Swim and Dive
Outdoor Track & Field
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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service