Indiana High School Athletic Association, Inc
Indiana High School Athletic Association, Inc.
CONTEST OFFICIAL’S REPORT OF
REMOVAL OF PARTICIPANT DUE TO POTENTIAL CONCUSSION
A contest official shall complete this report when the official removes an athlete from a contest who exhibits signs, symptoms, or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion, or balance problems). This report shall immediately be e-mailed or faxed to the athletic director of the IHSAA member school where the athlete attends, but under no circumstance later than 24 hours after the conclusion of the contest.
|Date of Contest | |
|Name of Student Removed | |
|Number (if applicable) | |
|School of Student Removed | |
|Sport | |
|Opponent | |
|Name of Contest Official | |
Please send this report as an attachment to an e-mail or fax to the school’s athletic director. The link below will take you to the IHSAA school directory:
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