St. George Dragon Slayers Football Varsity Registration

Step 1 of 6

Parent/Guradian Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

How many children will you be registering?(Required)

What Is a Concussion?

A concussion is a type of traumatic brain injury—or TBI— caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move quickly back and forth. This fast movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging the brain cells.

How Can I Help Keep My Children or Teens Safe?
Sports are a great way for children and teens to stay healthy and can help them do well in school. To help lower your children’s or teens’ chances of getting a concussion or other serious brain injury, you should:

• Help create a culture of safety for the team. o Work with their coach to teach ways to lower the chances of getting a concussion.
o Talk with your children or teens about concussion and ask if they have concerns about reporting a concussion.
o Talk with them about their concerns; emphasize the importance of reporting concussions and taking time to recover from one.
o Ensure that they follow their coach’s rules for safety and the rules of the sport.
o Tell your children or teens that you expect them to practice good sportsmanship at all times.

• When appropriate for the sport or activity, teach your children or teens that they must wear a helmet to lower the chances of the most serious types of brain or head injury. However, there is no “concussion-proof” helmet. So, even with a helmet, it is important for children and teens to avoid hits to the head.

How Can I Spot a Possible Concussion?

Children and teens who show or report one or more of the signs and symptoms listed below—or simply say they just “don’t feel right” after a bump, blow, or jolt to the head or body—may have a concussion or other serious brain injury.

Signs Observed by Parents or Coaches
• Appears dazed or stunned • Moves clumsily
• Answers questions slowly
• Loses consciousness (even briefly)
• Shows mood, behavior, or personality changes
• Can’t recall events prior to or after a hit or fall

Symptoms Reported by Children and Teens
• Headache or “pressure” in head
• Nausea or vomiting
• Balance problems or dizziness, or double or blurry vision
• Bothered by light or noise
• Feeling sluggish, hazy, foggy, or groggy
• Confusion, or concentration or memory problems

Talk with your children and teens about concussion.
Tell them to report their concussion symptoms to you and their coach right away. Some children and teens think concussions aren’t serious, or worry that if they report a concussion they will lose their position on the team or look weak. Be sure to remind them that it’s better to miss one game than the whole season.

CONCUSSIONS AFFECT EACH CHILD AND TEEN DIFFERENTLY.

While most children and teens with a concussion feel better within a couple of weeks, some will have symptoms for months or longer. Talk with your children’s or teens’ healthcare provider if their concussion symptoms do not go away, or if they get worse after they return to their regular activities.

What Are Some More Serious Danger Signs to Look Out For?

In rare cases, a dangerous collection of blood (hematoma) may form on the brain after a bump, blow, or jolt to the head or body and can squeeze the brain against the skull. Call 9-1-1 or take your child or teen to the emergency department right away if, after a bump, blow, or jolt to the head or body, he or she has one or more of these danger signs:
• One pupil larger than the other
• Drowsiness or inability to wake up
• A headache that gets worse and does not go away
• Slurred speech, weakness, numbness, or decreased coordination
• Repeated vomiting or nausea, convulsions or seizures (shaking or twitching)
• Unusual behavior, increased confusion, restlessness, or agitation
• Loss of consciousness (passed out/knocked out). Even a brief loss of consciousness should be taken seriously

What Should I Do If My Child or Teen Has a Possible Concussion?

As a parent, if you think your child or teen may have a concussion, you should:
1. Remove your child or teen from play.
2. Keep your child or teen out of play the day of the injury. Your child or teen should be seen by a healthcare provider and only return to play with permission from a healthcare provider who is experienced in evaluating for concussion.
3. Ask your child’s or teen’s healthcare provider for written instructions on helping your child or teen return to school. You can give the instructions to your child’s or teen’s school nurse and teacher(s) and return-to-play instructions to the coach and/or athletic trainer.

Do not try to judge the severity of the injury yourself. Only a healthcare provider should assess a child or teen for a possible concussion. Concussion signs and symptoms often show up soon after the injury. But you may not know how serious the concussion is at first, and some symptoms may not show up for hours or days.

The brain needs time to heal after a concussion. A child’s or teen’s return to school and sports should be a gradual process that is carefully managed and monitored by a healthcare provider.

Children and teens who continue to play while having concussion symptoms, or who return to play too soon—while the brain is still healing—have a greater chance of getting another concussion. A repeat concussion that occurs while the brain is still healing from the first injury can be very serious, and can affect a child or teen for a lifetime. It can even be fatal.

To learn more, go to cdc.gov/HEADSUP

By my name and signature below, I acknowledge in accordance with Public Acts 342 and 343 of 2012 that I have received and reviewed the Concussion Fact Sheet for Parents and Students provided by St. George Chaldean Catholic Church

I learned about concussion and talked with my parent or coach about what to do if I have a concussion or other serious brain injury.

Concussion Form Player 1(Required)
First Last

Concussion Form Player 2(Required)
First Last

Concussion Form Player 3(Required)
First Last

Concussion Form Player 4(Required)
First Last

Parent Name for Signature for Concussion Awareness(Required)
I have read the fact sheet above for parents on concussion with my child or teen, and talked about what to do if they have a concussion or other serious brain injury.
First Last

Date of Signature for Concussion Awareness(Required)
MM slash DD slash YYYY

Assumption of Risk Form

The coaching staff is concerned with your safety and wants you to receive the benefits of athletic participation. The student athlete(s) have read the above and agree that they have been warned as to injury and accept the responsibility of possible injury.

I hereby consent to participation by my child(ren), for the Slayers Football Team. In consideration of my child being allowed to participate in this sport, I hereby agree on behalf of myself and my child, to release St. George Chaldean Catholic Church, the Chaldean Catholic Diocese of Detroit, and any and all affiliated organizations, their employees, agents and representatives, from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the sport. In the event this release on behalf of myself and/or my child is held to be invalid or unenforceable, I hereby agree to indemnify and hold harmless Releasees from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the sport. This release of indemnification does not apply to claims for intentional misconduct or gross negligence; nor does this release of indemnification apply to the extent of commercial insurance coverage for any claim, but this Release of Indemnification shall apply to the extent of any self-insurance or deductible applicable to any claim.
Assumption of Risk Player 1(Required)
First Last
Assumption of Risk Player 2(Required)
First Last
Assumption of Risk Player 3(Required)
First Last
Assumption of Risk Player 4(Required)
First Last
I am the parent or legal guardian of the above-named student and have read the above and recognize the risk in participation and injury.
Parent Name for Signature for Assumption of Risk Form(Required)
First Last
Date of Signature for Assumption of Risk Form(Required)
MM slash DD slash YYYY

The student is covered by an insurance policy in effect for the school year:
Name of Insurance Company(Required)
Policy or group number(Required)

The administration and staff of our parish/school/academy, all CYO parishes/schools/academies and the CYO Athletic Department wish to make it clear that CYO sports are an educational activity. Athletes, parents and spectators must be aware of our expectations with regard to sportsmanship.

Unlike professional sports, as a spectator at an athletic event, you are a part of the activity, much like the athletes, coaches and officials. As a participant, (spectator or team member) we expect that you will maintain good sportsmanship or refrain from attending CYO athletic events.

• It is expected that as participants and spectators, we will support in a positive way our own team remembering that the athletes, coaches and officials are not perfect and will make mistakes. Negative, derogatory cheers or actions aimed at either team are not acceptable in educational athletics.

• It is expected that you will accept the decisions of the officials without vocalizing disagreement. Officials are an important part of this educational activity. We are sending the wrong message when we challenge or abuse the game official sent to the game to administer these educational activities.

• At all times it is expected that we will respect one another; adults and students alike. This especially includes our opponents and officials, without whose involvement, sport contests would not occur.

Signature of Student Athlete and Parents/Guardians that they have read and understand the above.
Expectations in Educational Athletics Player 1(Required)
First Last
Expectations in Educational Athletics Player 2(Required)
First Last
Expectations in Educational Athletics Player 3(Required)
First Last
Expectations in Educational Athletics Player 4(Required)
First Last
Parent/Guardian Signature for Expectations(Required)
First Last
Date of Signature for Expectations(Required)
MM slash DD slash YYYY

Payment Page

Please make your payment below.
Coupon Code
Coupon

If you would like to help the church out and pay the 3.5% CC fees please click YES below
YES
CC Processing Fees

Price: $0.00

Total

Credit Card(Required)

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date Month Year
Security Code Cardholder Name