CONCUSSION WAIVER

***forms below

 

 

 

 

 

 

 

GRAFTONHOOPS Athlete Concussion Awarness Information

A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by a bump, blow, or jolt to the head or body that causes the head and brain to move rapidly back and forth. Even a "ding," "getting your bell rung," or what seems to be a mild bump or blow to the head, can be serious.

 

WHAT ARE THE SYMPTOMS OF CONCUSSION?

Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If an athlete reports one or more symptoms of concussion listed below after a bump, blow, or jolt to the head or body, he should be kept ot of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says he is symptom-free and it's ok to return to play.

 

  • SIGNS OBSERVED BY COACHING STAFF

    • Appears dazed or stunned

    • Is confused about assignment or position

    • Forgets an instruction

    • Is unsure of game, score, or opponent

    • Moves clumsily

    • Answers questions slowly

    • Loses consciousness (even briefly)

    • Shows mood, behavior, or personality changes

    • Can't recall events prior to hit or fall

    • Can't recall events after hit or fall

  • SYMPTOMS REPORTED BY ATHLETES

    • Headach or "pressre" in head

    • Nausea or vomiting

    • Balance problems or dizziness

    • Double or blurry vision

    • Sensitivity to light

    • Sensitivity to noise

    • Feeling sluggish, hazy, foggy, or groggy

    • Concentration or memory problems

    • Confusion

    • Not "feeling right" or "feeling down"

 

CONCUSION DANGER SIGNS

In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skill An athlete should receive immediate medical attention if after a bump, blow, or jot to the head or boyd he exhibits any of the following danger signs:

  • Convulsions, seizures, or slurred speech

  • Cannot recognize people or places

  • Becomes increasingly confused or agitated

  • Has unusual behavior

  • Loses consciousness

  • One pupil is larger than the other

  • Is drowsy or cannot be awakened

  • A headache that gets worse

  • Weakness, numbness, or decreased coordination

  • Repeated vomiting or nausea

 

WHY SHOULD AN ATHLETE REPORT THEIR SYMPTOMS?

If an athlete has a concussion, his brain needs time to heal. While an athlete's brain is still healing he is much more likely to have another concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young athletes can result in brain swelling or permanent damage to their brain. They can even be fatal.

 

WHAT SHOULD YOU DO IF YOU THINK YOUR ATHLETE HAS A CONCUSSION?

If you suspect that an athlete has a concussion, remove the athlete from play and seek medical attention. Do not try to jdge the severity of the injry yourself. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating the concussion, says he is symptom-free and is ok to return to play. Rest is key to helping an athlete recover from a concussion. Exercising or activities that involve a lot of concentration, such as studying, working on the computer, or playing video games, may cause concussion symptoms to reappear or get worse. After a concussion, returning to sports and school is a gradual process that should be carefully managed and monitored by a health care professional.

 

As a parent and as an athlete it is important to recognize the signs, sympotoms, and behaviors of concussions. By agreeing to initial and sign the REGISTRATION FORM you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury.

 

ONLY AFTER READING THIS INFORMATION SHOULD

YOU THEN AGREE TO:

 

INITIAL & SIGN THE REGISTRATION

PAPERWORK & RETURN THE FORMS BELOW

 

 

This information has been reformatted from the Center of Disease Control's Heads Up Concussion in Youth Sports Program.

For more inforation please visit: www.dcd.gov/concussion/HeadsUp/youth.html

CONTACT US

Grafton Hoops is located Grafton Wisconsin.

For more information about Grafton Basketball, our programs and/or opportunities, as well as other inquiries,

please reach out to any of the contacts listed below.

Director of Boys Youth Basketball

Kim Polack

director@graftonhoops.com

Director of Girls Youth Basketball

Jessica Day

dayj7258@gmail.com