The Kaukauna Recreation Department seeks to comply with 2011 Wisconsin Act 172 which states:

“At the beginning of a season for a youth athletic activity, the person operating the youth athletic activity shall distribute a concussion and head injury information sheet to each person who will be coaching that activity and to each person who wishes to participate in that youth athletic activity.  No person may participate in a youth activity unless the person returns the information sheet signed by the person and, if he or she is under the age of 19, by his or her parent or guardian.”

Below are information sheets for both parents and athletes.  Coaches should read the parent information sheet.  Also below is an acknowledgement form.  This form should be filled out in its entirety, signed by both parent and participant and returned to the participant’s Coach.

No one shall be allowed to participate in Kaukauna Recreation Department sponsored practices or games without first submitting the concussion form.

Know Your Concussion ABCs – A Fact Sheet For Parents
Know Your Concussion ABCs – A Fact Sheet For Athletes
Parent & Athlete Acknowledgement Form