Player Concussion First and last names of player *First and last name of parent *I have read the concussion symptoms on the Concussion Information Sheet. * http://www.tssaa.org/wp-content/uploads/concussionparents.pdfA concussion is a brain injury which should be reported to my parents, my coach(es) or a medical professional if one is available. *I will/my child will need written permission from a health care provider to return to play or practice after a concussion. *Most concussions take days or weeks to get better. A more serious concussion can last for months or longer. *After a bump, blow or jolt to the head or body an athlete should receive immediate medical attention if there are any danger signs such as loss of consciousness, repeated vomiting, or a headache that gets worse. *After a concussion, the brain needs time to heal. I undestand that I am/my child is much more likely to have another concussion or more serious brain injuty if return to play or practice occurs before the concussion symptoms go away. *Sometimes repeat concussion can cause serious and long-lasting problems and even death. *PLAYER NAME THAT MATCHES ABOVE NAME ---I acknowledge that typing my name is my signature agreeing that I have read and agree with the concussion protocol. *player name and datePhoneSubmit
