Concussion Information Acknowledgement

Concussion Information

In order to participate in sports at Central Middle School, parents and student-athletes must acknowledge receipt of the Concussion Information Packet.

After reviewing the information, please complete the form below, or print the form out and turn it into the school office after signing.

Concussion Information Packet (PDF)

Concussion Acknowledgement

By typing my name below, I acknowledge that I reviewed the material and agree to the terms and rules listed there in.


My typed name acts as a signature.

Student NameParent NameParent EmailDate

 

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