A concussion is a brain injury that may follow a bump, blow or jolt to the head or body. Loss of consciousness is not required. Symptoms may appear immediately or develop later. Continuing sports or returning too early can expose a child to another injury and prolonged or serious harm.

Possible signs include appearing dazed or confused, forgetting instructions or events, slow answers, clumsy movement, behavior changes or loss of consciousness. A child may report headache, nausea, dizziness, balance problems, blurred vision, sensitivity to light or noise, trouble concentrating, feeling foggy or unusual fatigue. Tell the coach immediately about symptoms after any impact.

Call 911 or seek emergency care immediately for worsening severe headache, repeated vomiting, seizure, increasing confusion or unusual agitation, slurred speech, weakness or numbness, unequal pupils or double vision, inability to wake, or deteriorating consciousness after an injury. This list does not replace medical assessment; when in doubt seek urgent help.

NCYPA removes a child with suspected concussion or head injury immediately for the rest of the day. Coaches cannot diagnose severity or clear return. NCYPA notifies the guardian of the time, observed symptoms and care given. Obtain evaluation from a licensed healthcare provider trained in concussion management. The child may not return to athletic activity until NCYPA receives written medical clearance.

Ask the healthcare provider for guidance on school attendance, learning adjustments and daily activities. Gradually resume appropriate non-sport activity as directed. If concussion/head injury is diagnosed, complete a provider-supervised graduated return-to-play protocol lasting at least seven days, with written clearance and adherence to all restrictions. Report recurring symptoms and stop activity when directed. Do not use medication to mask symptoms so the child can play.

We have received and reviewed this information and understand the requirement to report symptoms and follow removal and medical clearance rules. For children age 6 or younger, only the parent or guardian signature is required; ages 7 through 12 sign with the parent or guardian. Ask NCYPA for an accessible explanation if needed.

Reference: CDC HEADS UP, Responding to a Sports-related Concussion, https://www.cdc.gov/heads-up/response/index.html. California Health and Safety Code 124235. Reviewed November 12, 2026.