EDIT MAIN
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LEBANON SCHOOL DISTRICT ATHLETIC CONCUSSION POLICY

Any athlete who exhibits signs, symptoms, or behaviors consistent with a concussion(such as loss of consciousness, headache, dizziness, confusion or balance problems) shall be immediately removed from the contest and shall not return to play until cleared by a physician licensed to practice medicine in all its branches in Illinois.

In cases when an athlete is not cleared to return to play the same day he/she is removed from a contest following a possible head injury (i.e., concussion) the athlete shall not return to play or practice until the athlete is evaluated by and receives written clearance from a licensed health care provider to return to play.

Symptoms may include the following:

Headaches – Nausea – Vomiting –Balance Problems –Sensitivity to Light –Drowsiness – Amnesia – Fatigue or Low Energy – Nervous Anxiety – More Emotional – Concentration or Memory Loss – Pressure in the Head – Neck Pain –Blurred Vision – Feeling Sluggish or Groggy – Change in Sleep Patterns – “Don’t Feel Right” – Sadness – Irritability – Confusion – Repeating the same question/comment

CUT THIS BOTTOM PORTION OFF AND RETURN TO THE HIGH SCHOOL OFFICE

Return this portion to the Lebanon High School Office as acknowledgement of this new national mandated policy that has been adopted by the Lebanon Community School District #9

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Student/Athlete Name Printed Student/Athlete Sign.                             Date

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Parent/Legal Guardian Printed Parent/Legal Guardian Sign.                Date