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Concussion Information and Waiver

Concussion Information and Waiver

A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. They can range from mild to severe and can disrupt the way the brain normally works. Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. You can’t see a concussion and most sports concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away.

Symptoms may include one or more of the following:

 Headaches

 Amnesia

 Pressure in head

 Don’t feel right

 Nausea or vomiting

 Fatigue or low energy

 Neck pain

 Sadness

 Balance problems or dizziness

 Nervousness or anxiety

 Blurred, double, or fuzzy vision

 Irritability

 Sensitivity to light or noise

 More emotional

 Feeling sluggish or slowed down

 Confusion

 Drowsiness

 Change in sleep patterns

 Repeating the same question/comment

 Feeling foggy or groggy

 Concentration or memory problems (forgetting game plays)

Signs observed by teammates, parents and coaches include:

 Appears dazed

 Vacant facial expression

 Confused about assignment

 Forgets plays

 Is unsure of game, score, or opponent

 Answers questions slowly

  Moves clumsily or displays incoordination

 Slurred speech

 Shows behavior or personality changes

 Seizures or convulsions

 Can’t recall events prior to hit

 Can’t recall events after hit

 Any change in typical behavior or personality

 Loses consciousness

What can happen if my child keeps on playing with a concussion or returns too soon?

Athletes with the signs and symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that adolescent or teenage athlete will often under report symptoms of injuries, and concussions are no different. As a result, education of administrators, coaches, parents and students is the key for student-athlete’s safety.

By signing below, I acknowledge that I have read and understood the information regarding concussions that apply to participation in soccer. I acknowledge that I have received this Star Academy handout regarding concussions. I know and understand that I should notify the proper healthcare provider(s) when I suspect my Player may have sustained a concussion. I take full responsibility for notifying the proper healthcare provider and my coach if I think my Player may have a concussion, and I also take full responsibility for any injuries or other problems that might occur to my Player or others as a result of a concussion.

SHOULD A PLAYER BE REMOVED FROM PLAY AS A RESULT OF A SUSPECTED CONCUSSION, THE PLAYER WILL NOT BE ALLOWED TO RETURN TO PLAY UNLESS AND UNTIL A CONCUSSION EVALUATION AND RELEASE TO PLAY FORM FOR LICENSED HEALTH CARE PROVIDERS HAS BEEN COMPLETED AND RETURNED TO THE STAR ACADEMY.

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