IHSA Concussion Information Form
Date
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Month
-
Day
Year
Date
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Parent Name
First Name
Last Name
Parent Email
example@example.com
Parent Signature: I have read and reviewed the IHSA Concussion Information Sheet.
Clear
Student Name
First Name
Last Name
Student Signature: I have read and reviewed the IHSA Concussion Information Sheet.
Clear
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*
Submit
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