Town of Cedarburg

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Orthopaedic Hospital of Wisconsin Field Improvement Plan
Little Leauge (pages):Concussion
Concussion Information (Section 118.293 of the Wisconsin Statutes)

The Sidelined for Safety Act became law on April 2, 2012. The law requires the development of guidelines to inform and educate pupil athletes, their parents or guardians, and coaches of the nature and risk of concussion in youth athletic activities. It requires youth athletic leagues to distribute a concussion and head injury information sheet annually to each coach and to each participating athlete, which must be signed by a parent or guardian and returned prior to participation. It also requires the removal of a youth athlete by a coach, official or health care provider if it is determined that that person exhibits signs and symptoms of concussion or head injury and if a concussion is suspected. The athlete may not return until evaluated by a licensed health care professional and receives written clearance to return. Coaches, officials or volunteers are immune from civil liability unless an omission rises to the level of gross negligence or wanton or willful misconduct.

Below are resources and informational sheets. The waivers that must be signed before play begins are now part of the online registration process.

Concussion FAQs

Information Sheets
Parent Information Sheet
Athlete Information Sheet
Coach Information Sheet

Signature Sheets (to be signed before first practice)
Coach Agreement

Doctor Clearance Form

Wisconsin Department of Public Instruction Website (full website with all forms)
Recreation Sponsors
  • Groth Water Wells
  • Kwik Trip
  • Client First Tax and Wealth
  • Midwest Precision Manufacturing
  • Dicks Sporting Goods
  • Commerce State Bank
  • Today's Dentistry
  • Little Sprouts Dental
  • Orthopedic Hospital of Wisconsin
  • Ataco Steel Corporation
  • Cedarburg Quarry
  • 5 Corners Chrysler Dodge Jeep
  • Gollnick & Sons Tree Service
  • Craig Kasten
  • Levy & Levy Attorneys at Law
  • M Squared Engineering
  • Newman Chevrolet of Cedarburg
  • Thierfelder Builders, Inc.
  • Tri-Par
  • Visual Image Photography, Inc.
  • Cedar Crest Ice Cream
  • Beyer's True Value
  • Domino's Pizza - Grafton
  • Terrace Realty
  • Antoine, Hoeft, & Eberhardt S.C.
  • Burghardt Sporting Goods
  • Waynes Drive-In
  • Bell Orthodontic Solutions
  • Piggly Wiggly
  • Meijer
  • 5 Corners Storage
  • Campbell's Auto Sport
  •  Port Washington State Bank
  • Custom Service Hardware
  • American Signal
  • Eernisse Funeral Home