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Athletic Forms

Acute Concussion Evaluation (ACE) Care Plan

Required for all athletes prior to first practice, valid for one school year.

Required for all school sports, students that don’t have a current school physical form (within 395 days) on file. Required for all athletes prior to first practice.

PLEASE NOTE: A “State of Illinois Certificate of Child Health Examination” form (Health Certificate) that is obtained at a student’s annual Well Visit can be submitted as a Sports Physical. However, an “IHSA Pre-Participation Exam” form may not be submitted as the Health Certificate required for school attendance in 6th and 9th grades.

Both the Health Certificate and the Pre-participation Exam forms are valid for 395 days. Parents are responsible for providing a current physical that will remain valid during the entire sports season.

If your student is in 6th grade or 9th grade, you are already required to submit the Health Certificate form; therefore, you will only need to submit the Concussion Sign-Off Form and Athletic Permission Form prior to sports tryouts.
 

Concussion Protocol

Every student-athlete and their parent or guardian are required to complete a Concussion Sign-off Form prior to participating in a sport. This document ensures that every student-athlete and parent understand the signs and symptoms of a concussion. This document can be found above.
 

Concussion Protocol after a Diagnosis

The impact of a concussion diagnosis is both a medical and academic concern.  Current medical research indicates that the most important factor in recovery at any age is to provide cognitive and physical rest.  After a concussion, parents are required to contact their child's physician to develop a safe plan for the student to return to learn and play. The Acute Concussion Evaluation (ACE) Care Plan is a great tool to utilize in cooperation with a physician. If a student-athlete has been diagnosed with a concussion, he/she may return to practice and competition when a letter of clearance from the diagnosing physician AND an “Athlete Post-Concussion Release Form” has been submitted to the school office / Athletic Director. A copy of this protocol is available in the school office.