SJEL & ESJL Student/Parent Concussion and Sudden Cardiac Arrest Awareness Form 2022/2023
The SJEL, ESJL combine believes participation in athletics improves physical fitness, coordination, self-discipline, and gives students valuable opportunities to learn important social and life skills.

With this in mind it is important that we do as much as possible to create and maintain an enjoyable and safe environment. As a parent/guardian or student you play a vital role in protecting participants and helping them get the best from sport.

Player and parental education in this area is crucial which is the reason for the Concussion Management and Sudden Cardiac Arrest Awareness pamphlet you received. Refer to it regularly.

This form must be signed annually by the parent/guardian and student prior to participation in SJEL or ESJL combine athletics.  If you have questions regarding any of the information provided in the pamphlet, please contact the athletic director at your school.
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Email *
Student Athlete Name *
Parent/Guardian Name *
I HAVE RECEIVED, READ AND UNDERSTAND THE INFORMATION PRESENTED IN THE CONCUSSION RECOGNITION AND SUDDEN CARDIAC ARREST AWARENESS PAMPHLETS. *
Student Signature (TO SIGN ELECTRONICALLY, PLEASE TYPE YOUR NAME AND TODAY'S DATE): *
Parent/Guardian Signature (TO SIGN ELECTRONICALLY, PLEASE TYPE YOUR NAME AND TODAY'S DATE): *
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