In compliance with Oklahoma Statute Section 24-155 of Title 70, this acknowledgement form is to confirm that you have read and understand the CONCUSSION FACT SHEETprovided to you by School Name* related to potentialconcussions and head injuries occurring during participation in athletics.
I, Type Student Name* as a student-athlete who participates in Name of School* athletics and I, Type Parent Name*, as the parent/legal guardian, have read the information material provided to us by Name of School* related to concussions and head injuries occurring during participation in athletic programs and understand the content and warnings.
This form should be completed annually prior to the athlete’s first practice and/or competition
and be kept on file for one year beyond the date of signature in the principal’s office or the office